Individual provider Active NPI

Lee Pitcher, FNP

  • Family Nurse Practitioner
  • Imperial, MO
National Provider Identifier
1972014363
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017029807 Issued in MO
Practice address
1125 Main St
Imperial, MO 63052-2323
Phone
(636) 206-8052
Fax
(636) 206-8052
NPI assigned
Oct 12, 2017
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017029807 MO Primary

Addresses

Primary practice location

1125 Main St
Imperial, MO 63052-2323

Mailing address

1125 Main St
Imperial, MO 63052-2323
Phone (636) 206-8052

Other practice location 1

660A S Truman Blvd
Festus, MO 63028-2235
Phone (636) 933-3800

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
I20171107001323 MO Practitioner - Nurse Practitioner 4486910544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

17701 Edison Ave
Suite 101
Chesterfield, MO 63005-1266
Phone (636) 735-4122

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017029807MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy East Ambulatory Services LLC CurrentSince Nov 1, 2020 Accepting new patients
Emergency Physicians of St. Luke's, LLC CurrentSince Oct 1, 2018 Accepting new patients
Physician Specialists of St Lukes LLC Past Accepting new patients

Locations

17701 Edison Ave
Ste 101
Chesterfield, MO 63005
Phone (636) 735-4122

233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644

660A S Truman Blvd
Festus, MO 63028
Phone (636) 931-3800

1125 Main St
Imperial, MO 63052
Phone (636) 206-8051

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

10700 Manchester Rd
Ste E
Saint Louis, MO 63122
Phone (314) 428-9541

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

Interoperability endpoints

  • Direct secure messaging: lpitcher354751@directc.mercy.net

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.

Hospital & facility affiliations 3

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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1972014363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 MAIN ST",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630522323",
            "telephone_number": "636-206-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 MAIN ST",
            "city": "IMPERIAL",
            "state": "MO",
            "postal_code": "630522323",
            "telephone_number": "636-206-8052",
            "fax_number": "636-206-8052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660A S Truman Blvd",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630282235",
            "country_code": "US",
            "telephone_number": "636-933-3800",
            "fax_number": "636-931-3990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITCHER",
        "first_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017029807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, MO

Sources for this page

Verify at the official NPI Registry.