Individual provider Active NPI

Chidochomoyo Erneta Zvirawa, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Troy, MO
National Provider Identifier
1790344968
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2019008103 Issued in MO
Practice address
1003 E Cherry St
Troy, MO 63379-1503
Phone
(636) 528-6755
Fax
(636) 528-6965
NPI assigned
Jun 11, 2019
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2019008103 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019008103 MO Primary

Addresses

Primary practice location

1003 E Cherry St
Troy, MO 63379-1503

Mailing address

2 Cityplace Dr FL 2
Saint Louis, MO 63141-7390
Phone (314) 914-2717

Other practice location 1

1001 Boardwalk Springs Pl
O Fallon, MO 63368-4778
Phone (636) 675-9799

Other practice location 2

745 Craig Rd Ste 301A
Saint Louis, MO 63141-7122
Phone (314) 455-1069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190816002617 MO Practitioner - Nurse Practitioner 3274861075 Reassigns benefits to 4 organizations
I20250519000309 IL Practitioner - Nurse Practitioner 3274861075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital LincolnGroup PAC ID 5193040020, shared by 7 NPIs, 31 clinicians
Aaa Psyche Care LLCGroup PAC ID 8921478140, 6 clinicians

Practice addresses (Care Compare)

1001 Boardwalk Springs PL
Suite 111
O Fallon, MO 63368-4764

1001 Boardwalk Springs PL
Suite 111
O Fallon, MO 63368-4777
Phone (314) 455-1069

1003 E Cherry St
Troy, MO 63379-1503
Phone (636) 528-6755

2 Cityplace Dr
FL 2
Saint Louis, MO 63141-7390
Phone (314) 914-2717

745 Craig Rd
Suite 301a
Saint Louis, MO 63141-7122
Phone (314) 455-1069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Arts

State licenses

LicenseStateTypeSpecialty
2019008103MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Lincoln CurrentSince Mar 5, 2022 Accepting new patients
SSM Health Care St Louis CurrentSince Dec 1, 2023 Accepting new patients
SSM Health Care St. Louis CurrentSince Dec 1, 2023 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jul 14, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Mar 8, 2025 Accepting new patients
Global Health Behavioral and Wellness LLC Psychiatric/Mental Health CurrentSince May 1, 2023 Accepting new patients
Aaa Psyche Care LLC CurrentSince Nov 1, 2024 Accepting new patients
Mercy Hospital Lincoln CurrentSince Mar 5, 2022 Accepting new patients

Locations

601 W Lincoln Ave
Caseyville, IL 62232
Phone (618) 344-9355

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

2 Annable Ct
Sauget, IL 62206
Phone (314) 842-1900

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

2022 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 520-0520

1001 Boardwalk Springs Pl
Ste 111
O Fallon, MO 63368
Phone (636) 362-6343

711 Veterans Memorial Pkwy
Ste 100
Saint Charles, MO 63303
Phone (314) 989-6838

2 Cityplace Dr
Fl 2
Saint Louis, MO 63141
Phone (314) 495-6037

745 Craig Rd
Ste 301A
Saint Louis, MO 63141
Phone (314) 439-1290

1003 E Cherry St
Troy, MO 63379
Phone (636) 528-6755

900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585

Organizations & group practices 8

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1790344968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CITYPLACE DR FL 2",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417390",
            "telephone_number": "314-914-2717",
            "fax_number": "314-453-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791503",
            "telephone_number": "636-528-6755",
            "fax_number": "636-528-6965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Boardwalk Springs Pl",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633684778",
            "country_code": "US",
            "telephone_number": "636-675-9799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "745 Craig Rd Ste 301A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631417122",
            "country_code": "US",
            "telephone_number": "314-455-1069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZVIRAWA",
        "first_name": "CHIDOCHOMOYO",
        "middle_name": "ERNETA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019008103",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019008103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MO

Sources for this page

Verify at the official NPI Registry.