Individual provider Active NPI

Ann M Wilson, DPM

  • Podiatrist
  • Warrenton, MO
National Provider Identifier
1902911829
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000549 Issued in MO
Practice address
18800 Schnucks Dr Ste B
Warrenton, MO 63383-1121
Phone
(636) 456-3413
NPI assigned
Aug 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000549 MO Primary

Addresses

Primary practice location

18800 Schnucks Dr Ste B
Warrenton, MO 63383-1121

Mailing address

PO Box 955534
Saint Louis, MO 63195-5534

Other practice location 1

172 Professional Pkwy
Troy, MO 63379-2823
Phone (636) 462-6106

Other identifiers 4

IdentifierTypeStateIssuer
302605282MedicaidMO
2700007OtherMOUNITED HEALTHCARE
104984OtherMOBLUE SHIELD OF MISSOURI
990003939OtherRR MCR

Other names 1

  • Ann M Seifert-Wilson Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address awilson2650@direct-ehr-ssmhc.com Direct

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000441 MO Practitioner - Podiatry 4981674611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

100 Medical PLZ
Lake Saint Louis, MO 63367-1366
Phone (636) 625-5200

1035 Bellevue Ave
Suite 500
Saint Louis, MO 63117-1843
Phone (314) 925-4770

164 Professional Pkwy
Troy, MO 63379-2823
Phone (636) 528-0392

172 Professional Pkwy
Troy, MO 63379-2823
Phone (636) 462-6106

18800 Schnucks Dr
Warrenton, MO 63383-1120
Phone (636) 456-3413

330 1St Capitol Dr
Saint Charles, MO 63301-2846

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue162
Removal of nail tissue940
Removal or shaving of skin growth277
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000549MOMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group, Inc. CurrentSince Aug 1, 2018 Accepting new patients
SSM Health Care St. Louis PastSince Jun 16, 2024 Accepting new patients

Locations

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

172 Professional Pkwy
Troy, MO 63379
Phone (636) 462-6106

18800 Schnucks Dr
Warrenton, MO 63383
Phone (636) 456-3413

722 N State Highway 47
#B
Warrenton, MO 63383
Phone (636) 456-3413

18800 Schnucks Dr
Ste B
Warrenton, MO 63383
Phone (636) 456-3413

Interoperability endpoints

  • Direct secure messaging: awilson2650@direct-ehr-ssmhc.com

Organizations & group practices 2

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 4

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1902911829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 SCHNUCKS DR STE B",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633831121",
            "telephone_number": "636-456-3413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 Professional Pkwy",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633792823",
            "country_code": "US",
            "telephone_number": "636-462-6106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "000549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302605282",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2700007",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MISSOURI",
            "identifier": "104984",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "990003939",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "18800 Schnucks Dr Ste B",
            "city": "Warrenton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633831121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awilson2650@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "awilson2650@direct-ehr-ssmhc.com",
            "address_1": "18800 Schnucks Dr Ste B",
            "city": "Warrenton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633831121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "SEIFERT-WILSON",
            "middle_name": "M",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Warrenton, MO

Sources for this page

Verify at the official NPI Registry.