Lee Pitcher, FNP
Individual provider Active NPI Family Nurse Practitioner · Imperial, MO
NPI 1972014363 · NPPES record last updated Jul 9, 2021
Key facts
- NPI
- 1972014363
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2017029807 (MO)
- Practice address
- 1125 Main St
Imperial, MO 63052-2323 - Phone
- (636) 206-8052
- Fax
- (636) 206-8052
- NPI assigned
- Oct 12, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic East Communities
Practice addresses (Care Compare)
17701 Edison Ave
Suite 101
Chesterfield, MO 63005-1266
Phone (636) 735-4122
Hospital & facility affiliations
- Mercy Hospital St Louis
- Mercy Hospital Washington
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171107001323 | MO | Practitioner - Nurse Practitioner | 4486910544 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy East Ambulatory Services LLC | Current |
Accepting new patients | |
| Emergency Physicians of St. Luke'S, LLC | Current |
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
- lpitcher354751@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2017029807 | MO | Yes |
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
Other providers in Imperial, MO
- Tiffany Pender
- Abbriel Peppler
- Mary Peterein
- Pharmax MW Inc.
- Pharmax MW Inc.
- Ann L Poisson
- Douglas Edward Poss
- Preventive Plus Inc
- Amy Raster
- Thea Renick
All providers in Imperial, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.