Individual provider Active NPI

James Branca, PNP

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1770794869
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
121132 Issued in MO
Practice address
621 S New Ballas Rd Ste 63B
Saint Louis, MO 63141-8251
Phone
(314) 966-0111
Fax
(314) 336-0008
NPI assigned
May 24, 2007
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 121132 MO Primary
Pediatric Registered Nurse 163WP0200X 121132 MO
Licensed Practical Nurse 164W00000X 121132 MO

Addresses

Primary practice location

621 S New Ballas Rd Ste 63B
Saint Louis, MO 63141-8251

Mailing address

621 S New Ballas Rd Ste 63B
Saint Louis, MO 63141-8251
Phone (314) 251-3500

Other practice location 1

10777 Sunset Office Dr Ste 120
Saint Louis, MO 63127-1019
Phone (314) 251-3500

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
I20191118000334 MO Practitioner - Nurse Practitioner 0345672150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Children's Surgery, LLC CurrentSince Sep 9, 2019 Accepting new patients

Locations

10777 Sunset Office Dr
Ste 120
Saint Louis, MO 63127
Phone (314) 251-6710

621 S New Ballas Rd
Ste 63B
Saint Louis, MO 63141
Phone (314) 251-3500

Interoperability endpoints

  • Direct secure messaging: jbranca7139@directc.mercy.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1770794869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 63B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418251",
            "telephone_number": "314-251-3500",
            "fax_number": "314-251-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 63B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418251",
            "telephone_number": "314-966-0111",
            "fax_number": "314-336-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10777 Sunset Office Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271019",
            "country_code": "US",
            "telephone_number": "314-251-3500",
            "fax_number": "314-251-3502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANCA",
        "first_name": "JAMES",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "121132",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "MO",
            "license": "121132",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "121132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.