Individual provider Active NPI

Mary Lee Morganite, AGNP

  • Nurse Practitioner
  • Creve Coeur, MO
National Provider Identifier
1770156770
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2021010411 Issued in MO
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

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926001031 MO Practitioner - Nurse Practitioner 3375929573 Reassigns benefits to 3 organizations

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
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

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

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities CurrentSince Apr 25, 2025 Accepting new patients
Washington University Clinical Associates LLC CurrentSince Aug 15, 2022 Accepting new patients
Healthcare Mentorship Nurse Practitioner CurrentSince Jan 26, 2025 Accepting new patients
Washington University CurrentSince Aug 15, 2022 Accepting new patients
Easy Health Medical Solutions PC Nurse Practitioner CurrentSince May 1, 2025 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.

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

Verify at the official NPI Registry.