Active NPI
Allyse Marie Ortega, FNP-C, AGACNP, RN
- Family Nurse Practitioner
- O Fallon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2017001487
- Practice address
- 844 Waterbury Falls Dr Ste B
O Fallon, MO 63368-2208 - Phone
- (636) 385-5556
- Fax
- (636) 614-2093
- NPI assigned
- Dec 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2017001487 | MO | Primary |
| Emergency Registered Nurse | 163WE0003X | 2010020396 | MO | |
| Acute Care Nurse Practitioner | 363LA2100X | 2023000801 | MO |
Addresses
Primary practice location
844 Waterbury Falls Dr Ste B
O Fallon, MO 63368-2208
Mailing address
844 Waterbury Falls Dr Ste B
O Fallon, MO 63368-2208
Phone (636) 385-5556
Other practice location 1
9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 373-5740
Other practice location 2
17 Clarkson Rd
Ellisville, MO 63011-2215
Phone (636) 552-9079
Other practice location 3
27 The Boulevard Saint Louis
Richmond Heights, MO 63117-1118
Phone (636) 385-5556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3449 Pheasant Meadow Dr
Suite 107
O Fallon, MO 63368-7364
Phone (281) 295-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010020396 | MO | MD | Emergency Registered Nurse |
| 2023000801 | MO | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Tauc Il, PC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Cep America, LLC | Current | Accepting new patients | |
| South St Louis Medical Associates LLC | Current | Accepting new patients | |
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Complete Infusion Solutions LLC | Current | Accepting new patients | |
| Cep America - California | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
404 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703
1103 Central Park Dr
O Fallon, IL 62269
Phone (618) 215-5703
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
3440 De Paul Ln
Ste 113
Bridgeton, MO 63044
Phone (314) 942-6464
17 Clarkson Rd
Ellisville, MO 63011
Phone (281) 295-4000
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
3449 Pheasant Meadow Dr
Ste 107
O Fallon, MO 63368
Phone (281) 295-4000
844 Waterbury Falls Dr
Ste B
O Fallon, MO 63368
Phone (636) 385-5556
27 The Boulevard Saint Louis
Richmond Heights, MO 63117
Phone (281) 295-4000
9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740
3915 Watson Rd
Ste 100
Saint Louis, MO 63109
Phone (314) 646-0478
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950
13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1619332046
-
- Internal Medicine Physician
- O Fallon, MO
- NPI 1386372514
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1750681151
-
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1962684886
-
- Urgent Care Clinic/Center
- Collinsville, IL
- NPI 1487401709
-
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Emergency Medicine Physician
- Bridgeton, MO
- NPI 1851946370
-
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1952729402
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Pomona, CA
- NPI 1740235258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1982149878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "844 WATERBURY FALLS DR STE B",
"city": "O FALLON",
"state": "MO",
"postal_code": "633682208",
"telephone_number": "636-385-5556",
"fax_number": "636-614-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 WATERBURY FALLS DR STE B",
"city": "O FALLON",
"state": "MO",
"postal_code": "633682208",
"telephone_number": "636-385-5556",
"fax_number": "636-614-2093"
}
],
"practiceLocations": [
{
"address_1": "9556 Manchester Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631191313",
"country_code": "US",
"telephone_number": "314-373-5740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 Clarkson Rd",
"address_purpose": "LOCATION",
"city": "Ellisville",
"state": "MO",
"postal_code": "630112215",
"country_code": "US",
"telephone_number": "636-552-9079",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27 The Boulevard Saint Louis",
"address_purpose": "LOCATION",
"city": "Richmond Heights",
"state": "MO",
"postal_code": "631171118",
"country_code": "US",
"telephone_number": "636-385-5556",
"fax_number": "636-614-2093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTEGA",
"first_name": "ALLYSE",
"middle_name": "MARIE",
"credential": "FNP-C, AGACNP, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-30",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2017001487",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "MO",
"license": "2010020396",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MO",
"license": "2023000801",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.