Active NPI
Mary Lee Morganite, AGNP
- Nurse Practitioner
- Creve Coeur, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2021010411
- Practice address
- 12747 Olive Blvd Ste 300
Creve Coeur, MO 63141-6269 - Phone
- (314) 325-6940
- NPI assigned
- Jul 19, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2021010411 | MO | Primary |
Addresses
Primary practice location
12747 Olive Blvd Ste 300
Creve Coeur, MO 63141-6269
Mailing address
4921 Parkview PL
Ste 13a
Saint Louis, MO 63110-1032
Phone (314) 333-4100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Des Peres Rd
Suite 310
Des Peres, MO 63131-2039
Phone (314) 821-1313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Washington University Clinical Associates LLC | Current | Accepting new patients | |
| Healthcare Mentorship | Nurse Practitioner | Current | Accepting new patients |
| Washington University | Current | Accepting new patients | |
| Easy Health Medical Solutions PC | Nurse Practitioner | Current | Accepting new patients |
Locations
10960 Wilshire Blvd
Ste 406
Los Angeles, CA 90024
637 Dunn Rd
Ste 102A
Hazelwood, MO 63042
Phone (314) 831-8600
800 E 101st Ter
Ste 350
Kansas City, MO 64131
Phone (816) 327-2336
660 S Euclid Ave
Stop 8221871800
Saint Louis, MO 63110
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
4921 Parkview Pl
Ste 13A
Saint Louis, MO 63110
Phone (314) 333-4100
4320 Forest Park Ave
Ste 1100
Saint Louis, MO 63108
Phone (314) 333-4100
621 S New Ballas Rd
Ste 507A
Saint Louis, MO 63141
Phone (314) 251-6800
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
12747 Olive Blvd
Ste 300
Saint Louis, MO 63141
Phone (314) 582-4398
1000 Des Peres Rd
Ste 310
Saint Louis, MO 63131
Phone (314) 821-1313
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1437188133
-
- Nurse Practitioner
- Saint Louis, MO
- NPI 1023820032
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1669405544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785542400000",
"number": "1770156770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4921 PARKVIEW PL",
"address_2": "STE 13A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101032",
"telephone_number": "314-333-4100",
"fax_number": "314-333-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12747 OLIVE BLVD STE 300",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631416269",
"telephone_number": "314-325-6940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGANITE",
"first_name": "MARY",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2026-08-01",
"certification_date": "2026-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2021010411",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "4921 Parkview Pl",
"address_2": "STE 13A",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.