Individual provider Active NPI

Heather Nicole Uelhof

  • Acute Care Nurse Practitioner
  • O Fallon, MO
National Provider Identifier
1881296788
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2019045376 Issued in MO
Practice address
1260 Old Stone Dr
O Fallon, MO 63368-8623
Phone
(619) 251-3543
NPI assigned
Nov 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2019045376 MO Primary

Addresses

Primary practice location

1260 Old Stone Dr
O Fallon, MO 63368-8623

Mailing address

1260 Old Stone Dr
O Fallon, MO 63368-8623
Phone (619) 251-3543

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
I20210120002158 MO Practitioner - Nurse Practitioner 2961816673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Electrophysiology Specialists LLCGroup PAC ID 4082906821, 5 clinicians

Practice addresses (Care Compare)

121 Saint Lukes Ctr Dr
Chesterfield, MO 63017-3519
Phone (636) 685-7738

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019045376MOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Oct 21, 2020 Accepting new patients
St. Louis Electrophysiology Specialists, LLC CurrentSince Jan 12, 2023 Accepting new patients
St. Lukes Medical Group Past Accepting new patients

Locations

371 S Broadview St
Cape Girardeau, MO 63703
Phone (573) 331-6710

121 Saint Lukes Center Dr
Ste 501
Chesterfield, MO 63017
Phone (314) 485-3500

121 Saint Lukes Center Dr
Ste 404
Chesterfield, MO 63017
Phone (314) 205-6420

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1605398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1881296788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 OLD STONE DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688623",
            "telephone_number": "619-251-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 OLD STONE DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688623",
            "telephone_number": "619-251-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UELHOF",
        "first_name": "HEATHER",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-15",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2019045376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

Verify at the official NPI Registry.