Individual provider Active NPI

Patricia Lynn Parks, APN

  • Family Nurse Practitioner
  • Washington, MO
National Provider Identifier
1760750616
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015016924 Issued in MO
Practice address
901 Patients First Dr
Washington, MO 63090-4700
Phone
(636) 239-4100
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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 2015016924 MO Primary

Addresses

Primary practice location

901 Patients First Dr
Washington, MO 63090-4700

Mailing address

901 Patients First Dr
Washington, MO 63090-4700
Phone (636) 239-4100

Other practice location 1

200 State Highway 47
Marthasville, MO 63357-1714
Phone (636) 433-5411

Other practice location 2

1001 Cardwell St
Saint Clair, MO 63077-1094
Phone (636) 629-3300

Other practice location 3

521 Anwijo Way
Warrenton, MO 63383-1388
Phone (636) 456-6103

Other practice location 4

2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361 ext. 25235

Other practice location 5

2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 549-5361 ext. 25235

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
I20150819006866 MO Practitioner - Nurse Practitioner 6002079951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

200 State Hwy 47
Marthasville, MO 63357-1714
Phone (636) 433-5411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015016924MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities CurrentSince Aug 17, 2015 Accepting new patients
Mercy Clinic East Communities CurrentSince Aug 17, 2015 Accepting new patients
Mercy Clinic East Communities Family Current Accepting new patients

Locations

200 State Highway 47
Marthasville, MO 63357
Phone (636) 266-7365

1001 Cardwell St
Saint Clair, MO 63077
Phone (636) 629-3300

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

521 Anwijo Way
Warrenton, MO 63383
Phone (636) 239-7344

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

901 Patients First Dr
Ste 2200
Washington, MO 63090
Phone (636) 239-7500

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

Interoperability endpoints

  • Direct secure messaging: pparks713025@directc.mercy.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1760750616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PATIENTS FIRST DR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904700",
            "telephone_number": "636-239-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PATIENTS FIRST DR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904700",
            "telephone_number": "636-239-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 State Highway 47",
            "address_purpose": "LOCATION",
            "city": "Marthasville",
            "state": "MO",
            "postal_code": "633571714",
            "country_code": "US",
            "telephone_number": "636-433-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Cardwell St",
            "address_purpose": "LOCATION",
            "city": "Saint Clair",
            "state": "MO",
            "postal_code": "630771094",
            "country_code": "US",
            "telephone_number": "636-629-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 Anwijo Way",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "MO",
            "postal_code": "633831388",
            "country_code": "US",
            "telephone_number": "636-456-6103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 W Main St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011031",
            "country_code": "US",
            "telephone_number": "618-549-5361 x25235",
            "fax_number": "618-549-5128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 W Main St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011031",
            "country_code": "US",
            "telephone_number": "618-549-5361 x25235",
            "fax_number": "618-549-5128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "PATRICIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015016924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.