Active NPI
Molly M Twellman, ANP
- Adult Health Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2015009936
- Practice address
- 10012 Kennerly Rd
Suite 403
Saint Louis, MO 63128-2197 - Phone
- (314) 880-6676
- Fax
- (314) 842-4372
- NPI assigned
- Apr 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2015009936 | MO | Primary |
Addresses
Primary practice location
10012 Kennerly Rd
Suite 403
Saint Louis, MO 63128-2197
Mailing address
10012 Kennerly Rd
Suite 403
Saint Louis, MO 63128-2197
Phone (314) 880-6676
Other names 1
- Miss Molly M Weber
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10012 Kennerly Rd
Suite 101
Saint Louis, MO 63128-2197
Phone (314) 880-6676
625 S New Ballas Rd
R 7040
Saint Louis, MO 63141-8253
Phone (314) 251-6970
Hospital & facility affiliations
- Mercy Hospital South
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Current | Accepting new patients | |
| Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Current | Accepting new patients |
Locations
10012 Kennerly Rd
Ste 300
Saint Louis, MO 63128
Phone (314) 842-0602
625 S New Ballas Rd
Ste R7040
Saint Louis, MO 63141
Phone (314) 251-5756
10012 Kennerly Rd
Ste 403
Saint Louis, MO 63128
Phone (314) 525-1800
10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807
625 S New Ballas Rd
#R7040
Saint Louis, MO 63141
10012 Kennerly Rd
Ste 101
Saint Louis, MO 63128
Phone (314) 525-4325
10012 Kennerly Rd
Ste 305
Saint Louis, MO 63128
Phone (314) 525-4325
Interoperability endpoints
- mtwellman992389@directc.mercy.net
Organizations & group practices 2
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Saint Louis, MO
- NPI 1538181466
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1528192416
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1750776100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD",
"address_2": "SUITE 403",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-880-6676",
"fax_number": "314-842-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD",
"address_2": "SUITE 403",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-880-6676",
"fax_number": "314-842-4372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWELLMAN",
"first_name": "MOLLY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-02",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2015009936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "WEBER",
"middle_name": "M",
"prefix": "MISS",
"credential": "ANP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.