Active NPI
Marietta R Caiarelli, FNP
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 142745
- Practice address
- 3646 Fairview Ave
Saint Louis, MO 63116-4747 - Phone
- (314) 664-5565
- NPI assigned
- Jul 5, 2007
- Last updated
- May 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 142745 | MO | Primary |
Addresses
Primary practice location
3646 Fairview Ave
Saint Louis, MO 63116-4747
Mailing address
14 Ponca TRL
Kirkwood, MO 63122-5112
Phone (314) 965-4470
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11550 Olive Blvd
Saint Louis, MO 63141-7111
Phone (314) 542-7690
12304 Manchester Rd
Des Peres, MO 63131-4315
Phone (314) 965-6871
232 S Woods Mell Rd
Chesterfield, MO 63017-3417
2325 Dougherty Ferry Rd
Suite 104
Saint Louis, MO 63122-3356
Phone (314) 821-6889
233 Clarkson Rd
Ellisville, MO 63011-2219
Phone (636) 256-8644
5551 Winghaven Blvd
100 Winghaven UC Center
O Fallon, MO 63368-3618
Phone (636) 695-2500
832 Arnold Commons Dr
Arnold, MO 63010-2164
Phone (636) 685-7899
8857 Ladue Rd a
Saint Louis, MO 63124-2045
Phone (314) 576-8189
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.71 of 100
- Quality
- 82.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142745 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Physicians LLC | Current | Accepting new patients | |
| Physician Specialists of St Lukes LLC | Past | Accepting new patients | |
| St Alexius Emergency Physicians LLC | Past | Accepting new patients |
Locations
12304 Manchester Rd
Des Peres, MO 63131
Phone (314) 965-6871
2325 Dougherty Ferry Rd
Ste 104
Saint Louis, MO 63122
Phone (314) 821-6889
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1417459207
-
- Emergency Medicine Physician
- Chesterfield, MO
- NPI 1215359815
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1235168410
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1578796157
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1891993481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 PONCA TRL",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631225112",
"telephone_number": "314-965-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3646 FAIRVIEW AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631164747",
"telephone_number": "314-664-5565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIARELLI",
"first_name": "MARIETTA",
"middle_name": "R",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "142745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.