Active NPI
Melissa Anne Sicard, PNP
- Nurse Practitioner
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2002019668
- Practice address
- 13001 N Outer 40 Rd
Div Ped Endocrinology and Diabetes
Chesterfield, MO 63017-5941 - Phone
- (314) 454-6051
- Fax
- (314) 454-6225
- NPI assigned
- Oct 22, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 2002019668 | MO | |
| Nurse Practitioner | 363L00000X | 2002019668 | MO | Primary |
Addresses
Primary practice location
13001 N Outer 40 Rd
Div Ped Endocrinology and Diabetes
Chesterfield, MO 63017-5941
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 454-6051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 424144103 | Medicaid | MO |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Washington University | Past | Accepting new patients |
Locations
1224 Graham Rd
Ste 2010
Florissant, MO 63031
Phone (314) 839-5232
1 Childrens Pl
#8116
Saint Louis, MO 63110
Phone (314) 454-6095
1234 S Kingshighway Blvd
Ste 1200
Saint Louis, MO 63110
660 S Euclid Ave
Saint Louis, MO 63110
1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104
1 Childrens Pl
Saint Louis, MO 63110
Phone (314) 454-2076
13001 North Outer 40 Rd
Town and Country, MO 63017
Phone (314) 454-3013
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1194765685
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1134169568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1780910083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742011",
"telephone_number": "314-454-6051",
"fax_number": "314-454-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 N OUTER 40 RD",
"address_2": "DIV PED ENDOCRINOLOGY AND DIABETES",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175941",
"telephone_number": "314-454-6051",
"fax_number": "314-454-6225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICARD",
"first_name": "MELISSA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-22",
"last_updated": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MO",
"license": "2002019668",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2002019668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "424144103",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "13001 N Outer 40 Rd",
"address_2": "Div Ped Endocrinology and Diabetes",
"city": "Chesterfield",
"state": "MO",
"country_code": "US",
"postal_code": "630175941",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.