Active NPI
Patricia Lynn Parks, APN
- Family Nurse Practitioner
- Washington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2015016924
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2015016924 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Mercy Clinic East Communities | Current | 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
- 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.
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1043574940
-
- Rural Health Clinic/Center
- Sullivan, MO
- NPI 1467716928
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.