Mitzie E Graeler, RN, CPNP

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

137027 Issued in MO

Practice address

11365 Dorsett Rd.
Maryland Heights, MO 63043

Phone

(314) 872-6400

Fax

(314) 872-6500

NPI assigned

Nov 3, 2011

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Ranken-Jordan Home for Convalescent Crippled Children

  • General Acute Care Hospital
  • Maryland Heights, MO
  • NPI 1235117532
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1972880003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11365 DORSETT RD.",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "63043",
            "telephone_number": "314-872-6400",
            "fax_number": "314-872-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11365 DORSETT RD.",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "63043",
            "telephone_number": "314-872-6400",
            "fax_number": "314-872-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAELER",
        "first_name": "MITZIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "RN, CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "137027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goldstar Laboratories Missouri LLC
• Mariaimee Gonzalez, PLPC
• Christine R Gottman, A.N.P.
• Breanne Marie Gould, PA-C
• Erin Kathleen Gould, M.S.E., LPC
• Mitch Graumenz, PHARM. D
• Great Strides Behavioral Consulting, Inc.
• Amanda Beth Griffin, LPC
• Paul F Grim III, MD
• Gary Marvin Guebert, D.C.

• General Acute Care Hospital in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• General Acute Care Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.