Individual provider Active NPI

Marina Fischer

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1750700928
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014006849 Issued in MO
Practice address
1120 S 6TH St Ste 110
Saint Louis, MO 63104-3602
Phone
(314) 203-2627
Fax
(314) 261-9469
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2014006849 MO Primary

Addresses

Primary practice location

1120 S 6TH St Ste 110
Saint Louis, MO 63104-3602

Mailing address

1120 S 6TH St Ste 110
Saint Louis, MO 63104-3602
Phone (618) 977-1305

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@intentionallivingphc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140430000659 MO Practitioner - Nurse Practitioner 8123251022 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2014006849MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities CurrentSince Jul 26, 2021 Accepting new patients
SSM Health Care St. Louis CurrentSince Apr 1, 2024 Accepting new patients
Mercy Clinic East Communities Family CurrentSince Jul 26, 2021 Accepting new patients
SSM Depaul Medical Group, Inc. Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

14021 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 839-0910

2022 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 520-0520

2024 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 590-0550

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

10700 Manchester Rd
Ste D
Saint Louis, MO 63122
Phone (314) 822-6830

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

1601 Wentzville Pkwy
Ste 130
Wentzville, MO 63385
Phone (636) 332-8455

Interoperability endpoints

  • Direct secure messaging: info@intentionallivingphc.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1750700928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S 6TH ST STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631043602",
            "telephone_number": "618-977-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S 6TH ST STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631043602",
            "telephone_number": "314-203-2627",
            "fax_number": "314-261-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014006849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@intentionallivingphc.com",
            "affiliation": "N",
            "endpointDescription": "Clinic email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1120 S 6th St Ste 110",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631043602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.