Individual provider Active NPI

Allyse Marie Ortega, FNP-C, AGACNP, RN

  • Family Nurse Practitioner
  • O Fallon, MO
National Provider Identifier
1982149878
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017001487 Issued in MO
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

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 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

Enrollment IDStateProvider typePAC IDDetails
I20170420002571 MO Practitioner - Nurse Practitioner 4486930732 Reassigns benefits to 5 organizations
I20240911000044 IL Practitioner - Nurse Practitioner 4486930732 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2010020396MOMDEmergency Registered Nurse
2023000801MOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Access Urgent Care, PC CurrentSince Apr 19, 2017 Accepting new patients
Tauc Il, PC CurrentSince Aug 29, 2024 Accepting new patients
Cep America LLC CurrentSince Apr 1, 2022 Accepting new patients
Cep America, LLC Current Accepting new patients
South St Louis Medical Associates LLC CurrentSince Apr 11, 2018 Accepting new patients
Total Access Urgent Care, PC CurrentSince Apr 19, 2017 Accepting new patients
Cep America LLC CurrentSince Apr 1, 2022 Accepting new patients
Complete Infusion Solutions LLC CurrentSince Jan 31, 2023 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.

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

Verify at the official NPI Registry.