Individual provider Active NPI

Eileen Rosenkoetter, APRN, BC, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1891747135
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
052186 Issued in MO
Practice address
12700 Southfork Rd # 200220
Saint Louis, MO 63128-3206
Phone
(314) 272-2728
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 052186 MO Primary

Addresses

Primary practice location

12700 Southfork Rd # 200220
Saint Louis, MO 63128-3206

Mailing address

1428 Briarcreek Dr
Saint Louis, MO 63122-5450
Phone (573) 747-9510

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
I20061031000201 MO Practitioner - Nurse Practitioner 3173520319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

15945 Clayton Rd
Ballwin, MO 63011-2490
Phone (636) 256-5070

15945 Clayton Rd
Ballwin, MO 63011-2492

621 S New Ballas Rd
Suite 189a
Saint Louis, MO 63141-8255
Phone (314) 251-6335

621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities CurrentSince Apr 4, 2022 Accepting new patients

Locations

15945 Clayton Rd
Ste 340
Ballwin, MO 63011
Phone (636) 256-5130

755 Dunn Rd
Ste 110
Hazelwood, MO 63042
Phone (314) 731-1113

12445 Dorsett Rd
Maryland Heights, MO 63043
Phone (314) 251-1820

4460 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 843-7557

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

7345 Watson Rd
Ste 202
Saint Louis, MO 63119
Phone (314) 752-7100

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

9180 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 364-3662

12348 Old Tesson Rd
Ste 240
Saint Louis, MO 63128
Phone 3144673900 ext. 284

1001 S Kirkwood Rd
Ste 300
Saint Louis, MO 63122
Phone (314) 525-4225

2900 Lemay Ferry Rd
Ste 100
Saint Louis, MO 63125
Phone (314) 543-5984

1000 Des Peres Rd
Ste 310
Saint Louis, MO 63131
Phone (314) 821-1313

6435 Chippewa St
Saint Louis, MO 63109
Phone (314) 353-1870

12348 Old Tesson Rd
Ste 250
Saint Louis, MO 63128
Phone (314) 272-2727

12200 Weber Hill Rd
Ste 100
Saint Louis, MO 63127
Phone (314) 698-2400

16555 Manchester Rd
Ste 100
Wildwood, MO 63040
Phone (636) 458-0646

Organizations & group practices 1

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 3

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1891747135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 BRIARCREEK DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225450",
            "telephone_number": "573-747-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD # 200220",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283206",
            "telephone_number": "314-272-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENKOETTER",
        "first_name": "EILEEN",
        "credential": "APRN, BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "052186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.