Active NPI
Mara Kathleen Hinkle, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2018000540
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (314) 251-6796
- NPI assigned
- Dec 29, 2016
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2018000540 | MO | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6796
Other practice location 1
10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-4429
Other practice location 2
1400 US Highway 61
Festus, MO 63028-4100
Phone (636) 933-1208
Other names 1
- Mara Kathleen Trautman
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180725003522 | MO | Practitioner - Nurse Practitioner | 5294017463 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6339
Hospital & facility affiliations
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018000540 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Aco Clinical Services Inc | Current | Accepting new patients | |
| Mercy East Support Services, LLC | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists - Washington, LLC | Current | Accepting new patients | |
| St Anthonys Physician Organization Hospitalist Services, L.C. | Current | Accepting new patients | |
| St Anthonys Physician Organization Hospitalist Services, L.C. | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists- Jefferson, LLC | Current | Accepting new patients |
Locations
15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
10018 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-4412
615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
851 E 5th St
Ste 154
Washington, MO 63090
Phone (314) 251-6663
901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1841235108
MO
-
- Hospitalist Physician
- Washington, MO
- NPI 1891943429
MO
-
- Internal Medicine Physician
- Festus, MO
- NPI 1083052492
MO
-
- Hospitalist Physician
- Saint Louis, MO
- NPI 1407216336
MO
-
- Hospitalist Physician
- Saint Louis, MO
- NPI 1710265574
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1922543958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-6796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-6796"
}
],
"practiceLocations": [
{
"address_1": "10018 Kennerly Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282106",
"country_code": "US",
"telephone_number": "314-525-4429",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 US Highway 61",
"address_purpose": "LOCATION",
"city": "Festus",
"state": "MO",
"postal_code": "630284100",
"country_code": "US",
"telephone_number": "636-933-1208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HINKLE",
"first_name": "MARA",
"middle_name": "KATHLEEN",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-29",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2018000540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARA",
"last_name": "TRAUTMAN",
"middle_name": "KATHLEEN",
"credential": "DNP",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 10, 2024; 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.