Individual provider Active NPI

Maureen Baker Stauder, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1891526067
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024027496 Issued in MO
Practice address
12655 Olive Blvd FL 4
Saint Louis, MO 63141-6291
Phone
(314) 394-7444
Fax
(314) 627-8957
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2024027496 MO Primary

Addresses

Primary practice location

12655 Olive Blvd FL 4
Saint Louis, MO 63141-6291

Mailing address

PO Box 410770
Saint Louis, MO 63141-0770
Phone (314) 394-7444

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
I20241107001034 MO Practitioner - Nurse Practitioner 3577097948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saint Louis University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

Hospital & facility affiliations

  • SSM Health Saint Louis University Hospital Hospital, Saint Louis, MO, CCN 260105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024027496MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Esse Health Heal at Home LLC Family CurrentSince Oct 1, 2024 Accepting new patients
SSM Health Care Group CurrentSince Aug 9, 2025 Accepting new patients
SSM Health Care Group CurrentSince Aug 9, 2025 Accepting new patients
American Multispecialty Group Inc. Family PastSince Apr 28, 2024 Accepting new patients
English and McLaughlin, P.C. Family PastSince Oct 1, 2024 Accepting new patients

Locations

12655 Olive Blvd
Ste 400
Saint Louis, MO 63141
Phone (314) 851-1075

12655 Olive Blvd
Fl 4
Saint Louis, MO 63141
Phone (314) 394-7444

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

Interoperability endpoints

  • Direct secure messaging: maureen.stauder.p3@direct.essehealth.nextgenshare.com

Organizations & group practices 7

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": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1891526067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410770",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631410770",
            "telephone_number": "314-394-7444",
            "fax_number": "314-627-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 OLIVE BLVD FL 4",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416291",
            "telephone_number": "314-394-7444",
            "fax_number": "314-627-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUDER",
        "first_name": "MAUREEN",
        "middle_name": "BAKER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024027496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.