Individual provider Active NPI

Gerald Carson Power Jr., F.N.P

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1942652862
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016021256 Issued in MO
Practice address
2015 Maplewood Commons Dr
Saint Louis, MO 63143-1003
Phone
(314) 293-4023
Fax
(314) 293-4285
NPI assigned
Jul 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209016481 IL
Family Nurse Practitioner 363LF0000X 2016021256 MO Primary

Addresses

Primary practice location

2015 Maplewood Commons Dr
Saint Louis, MO 63143-1003

Mailing address

2015 Maplewood Commons Dr
Saint Louis, MO 63143-1003
Phone (314) 293-4023

Other practice location 1

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1911

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
I20160819002122 MO Practitioner - Nurse Practitioner 2264727908 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians
Mercy East Ambulatory Services LLCGroup PAC ID 2365739240, 102 clinicians

Practice addresses (Care Compare)

12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000

2015 Maplewood Commons Dr
Saint Louis, MO 63143-1003
Phone (314) 293-4023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Jul 7, 2016 Accepting new patients
Mercy East Ambulatory Services LLC CurrentSince Dec 12, 2022 Accepting new patients
SSM Health Care St Louis CurrentSince Dec 7, 2020 Accepting new patients
SSM Health Care St. Louis CurrentSince Dec 7, 2020 Accepting new patients
Mercy Southern Missouri Ambulatory Services LLC CurrentSince Jul 10, 2024 Accepting new patients
Cep America, LLC CurrentSince Jul 7, 2016 Accepting new patients
Lincoln County Hospital Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

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

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

2015 Maplewood Commons Dr
Saint Louis, MO 63143
Phone (314) 293-4023

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

2150 W Republic Rd
Ste 112
Springfield, MO 65807
Phone (417) 986-1291

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

6055 N Main Street Rd
Webb City, MO 64870
Phone (417) 206-0400

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1942652862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MAPLEWOOD COMMONS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631431003",
            "telephone_number": "314-293-4023",
            "fax_number": "314-293-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MAPLEWOOD COMMONS DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631431003",
            "telephone_number": "314-293-4023",
            "fax_number": "314-293-4285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10010 Kennerly Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282106",
            "country_code": "US",
            "telephone_number": "314-525-1911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWER",
        "first_name": "GERALD",
        "middle_name": "CARSON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-02",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016481",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016021256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.