Individual provider Active NPI

Candice Griewing, APN

  • Adult Health Nurse Practitioner
  • Saint Peters, MO
National Provider Identifier
1790972255
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
128905 Issued in MO
Practice address
2730 S Highway 94
Ste 202
Saint Peters, MO 63303-5677
Phone
(636) 939-4200
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 128905 MO Primary

Addresses

Primary practice location

2730 S Highway 94
Ste 202
Saint Peters, MO 63303-5677

Mailing address

2730 S Highway 94
Ste 202
Saint Peters, MO 63303-5677
Phone (636) 939-4200

Other identifiers 1

IdentifierTypeStateIssuer
128905OtherMOSTATE LICENSE

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
I20100819001072 MO Practitioner - Nurse Practitioner 4981658762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Critical Care Services PCGroup PAC ID 8729992060, 32 clinicians

Practice addresses (Care Compare)

1 Cityplace Dr
Suite 570
Saint Louis, MO 63141-7067
Phone (314) 514-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Services, P.C. CurrentSince Aug 1, 2021 Accepting new patients
St. Anthony'S Medical Center Past Accepting new patients
Practice Management Affiliates Consulting Inc Past Accepting new patients

Locations

999 Executive Parkway Dr
Ste 210
Saint Louis, MO 63141
Phone (314) 514-6005

1 Cityplace Dr
Ste 570
Saint Louis, MO 63141
Phone (314) 514-6060

Interoperability endpoints

  • Direct secure messaging: candice.griewing@direct.einstein.edu
  • Direct secure messaging: cgriewing305790@ecommunitydirect.com
  • Direct secure messaging: cgriewing305790@reidhealth.direct-ci.com

Organizations & group practices 3

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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1790972255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 S HIGHWAY 94",
            "address_2": "STE 202",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633035677",
            "telephone_number": "636-939-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S HIGHWAY 94",
            "address_2": "STE 202",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633035677",
            "telephone_number": "636-939-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEWING",
        "first_name": "CANDICE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "128905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "128905",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.