Individual provider Active NPI

David Kevin Winchell, P.A.-C

  • Medical Physician Assistant
  • Saint Peters, MO
National Provider Identifier
1871550921
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
102833 Issued in MO
Practice address
5700 Mexico Rd Ste 14
Saint Peters, MO 63376
Phone
(636) 277-0371
Fax
(636) 447-4161
NPI assigned
May 1, 2006
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 102833 MO Primary

Addresses

Primary practice location

5700 Mexico Rd Ste 14
Saint Peters, MO 63376

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

9209 Phoenix Village Pkwy
O Fallon, MO 63368-4280
Phone (636) 561-4613

Other practice location 2

1800 Wentzville Pkwy
Wentzville, MO 63385-3817
Phone (636) 200-9220

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address David.Winchell@forefrontdermatology.emadirect.md
Direct Messaging Address David.Winchell@forefrontdermatology.emadirect.md
Direct Messaging Address David.Winchell@forefrontdermatology.emadirect.md

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
I20120225000058 MO Practitioner - Physician Assistant 1850559675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

12855 N 40 Dr
Suite 180
Saint Louis, MO 63141-8657
Phone (314) 878-5599

1800 Wentzville Pkwy
Wentzville, MO 63385-3817
Phone (636) 200-9220

9209 Phoenix Village Pkwy
O Fallon, MO 63368-4280
Phone (636) 561-4613

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
102833MOMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Mar 1, 2020 Accepting new patients
St. Louis Dermatology and Surgery Center, PC Current Accepting new patients
Forefront Dermatology, S.C. CurrentSince Mar 1, 2020 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Forefront Dermatology, S.C. PastSince Feb 1, 2025 Accepting new patients
Mercy Clinic East Communities Past Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

1223 Maple St
Farmington, MO 63640
Phone (573) 760-0091

9209 Phoenix Village Pkwy
O Fallon, MO 63368
Phone (636) 474-3376

12855 N 40 Dr
Ste 180
Saint Louis, MO 63141
Phone (314) 878-5599

5700 Mexico Rd
Ste 14
Saint Peters, MO 63376
Phone (636) 277-0371

1800 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 200-9220

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: dwinchell484916@directc.mercy.net

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1871550921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MEXICO RD STE 14",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-277-0371",
            "fax_number": "636-447-4161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9209 Phoenix Village Pkwy",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633684280",
            "country_code": "US",
            "telephone_number": "636-561-4613",
            "fax_number": "636-561-4610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Wentzville Pkwy",
            "address_purpose": "LOCATION",
            "city": "Wentzville",
            "state": "MO",
            "postal_code": "633853817",
            "country_code": "US",
            "telephone_number": "636-200-9220",
            "fax_number": "636-590-7659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINCHELL",
        "first_name": "DAVID",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "102833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "David.Winchell@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5700 Mexico Rd Ste 14",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "David.Winchell@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "9209 Phoenix Village Pkwy",
            "city": "O Fallon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633684280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "David.Winchell@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1800 Wentzville Pkwy",
            "city": "Wentzville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633853817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.