Individual provider Active NPI

Joy Ugonma Ekenga, FNP

  • Family Nurse Practitioner
  • Hazelwood, MO
National Provider Identifier
1891263190
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018031756 Issued in MO
Practice address
7220 N Lindbergh Blvd # 200
Hazelwood, MO 63042-2019
Phone
(314) 249-6100
Fax
(314) 227-1483
NPI assigned
Nov 5, 2018
Last updated
Feb 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209020019 IL
Family Nurse Practitioner 363LF0000X 2018031756 MO Primary

Addresses

Primary practice location

7220 N Lindbergh Blvd # 200
Hazelwood, MO 63042-2019

Mailing address

1240 Saint Patrice LN
Florissant, MO 63031-7926
Phone (314) 922-3128

Other practice location 1

1240 Saint Patrice Ln
Florissant, MO 63031-7926
Phone (314) 922-3128

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
I20190422001703 MO Practitioner - Nurse Practitioner 6709128861 Reassigns benefits to 4 organizations
I20241021001090 IL Practitioner - Nurse Practitioner 6709128861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians of Illinois LLCGroup PAC ID 1557533734, 193 clinicians
Cep America - Illinois SNF LLPGroup PAC ID 8022306737, 8 clinicians

Practice addresses (Care Compare)

1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 465-2571

1033 Corporate Square Dr
Suite 126
Saint Louis, MO 63132-2928
Phone (314) 922-3128

12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000

3490 Humbert Rd
Alton, IL 62002-7101
Phone (618) 465-2626

6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 768-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
81.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209020019ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC CurrentSince Mar 20, 2019 Accepting new patients
Enjoy Healthcare and Wellness Family CurrentSince Mar 19, 2022 Accepting new patients
Cep America-Illinois Hospitalists, LLP CurrentSince Oct 1, 2024 Accepting new patients
St. Louis Heart & Vascular, P.C. CurrentSince Dec 1, 2021 Accepting new patients
Cep America-Illinois Hospitalists CurrentSince Oct 1, 2024 Accepting new patients
Cogent Healthcare of Missouri, Inc CurrentSince Jan 1, 2022 Accepting new patients
Cep America-Illinois Hospitalists, LLP Current Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048

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

7220 N Lindbergh Blvd
Ste 200
Hazelwood, MO 63042
Phone (314) 249-6100

1033 Corporate Square Dr
Ste 126
Saint Louis, MO 63132
Phone (314) 922-3128

2325 Dougherty Ferry Rd
Ste 203
Saint Louis, MO 63122
Phone (314) 733-5140

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

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.

Hospital & facility affiliations 2

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1891263190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 SAINT PATRICE LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317926",
            "telephone_number": "314-922-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 N LINDBERGH BLVD # 200",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630422019",
            "telephone_number": "314-249-6100",
            "fax_number": "314-227-1483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Saint Patrice Ln",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630317926",
            "country_code": "US",
            "telephone_number": "314-922-3128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKENGA",
        "first_name": "JOY",
        "middle_name": "UGONMA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020019",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018031756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

Verify at the official NPI Registry.