Esen Antakli, AGNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

2016001674 Issued in MO

Practice address

12855 N 40 Dr Ste 275
Saint Louis, MO 63141-8667

Phone

(314) 395-7699

NPI assigned

Jan 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• James Cole Physiatry LLC

  • Physical Medicine & Rehabilitation Physician
  • Saint Louis, MO
  • NPI 1982336988

  MO, TX

  Medicare reassignment Care Compare group NPD
• Amr Pain & Spine Clinic LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Saint Louis, MO
  • NPI 1396126280

  MO

  Medicare reassignment NPD
• Herrera Medical Group of Bedford & Associates

  • Family Medicine Physician
  • Bedford, TX
  • NPI 1508078452

  TX

  Medicare reassignment NPD

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James Cole Physiatry LLC 15 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1962869990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412024",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631412024",
            "telephone_number": "314-395-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR STE 275",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418667",
            "telephone_number": "314-395-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTAKLI",
        "first_name": "ESEN",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2016001674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Anson, OT
• George Ansstas, MD
• Michael Ansstas, M.D.
• Anstey Internal Medicine PC
• John Thomas Anstey, M.D.
• Amy E Antalick, CRNA
• Anthony J Tegenkamp,DMD,LLC
• Anthony J. Marino, D.D.S. , P.C.
• Anthony Schultz, M.D., S.C.
• Anthony Udziela PHD LLC

• All providers in Saint Louis, MO
• Gerontology Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.

Verify at the official NPI Registry.