Individual provider Active NPI

Mae Armer Weddle, ACNP

  • Gerontology Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1982239547
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2020007750 Issued in MO
Practice address
1020 N Mason Rd
Div Im Cardiology, Ste 100
Saint Louis, MO 63141-6666
Phone
(314) 362-1291
Fax
(314) 996-3268
NPI assigned
Mar 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2020007750 MO Primary

Addresses

Primary practice location

1020 N Mason Rd
Div Im Cardiology, Ste 100
Saint Louis, MO 63141-6666

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-1291

Other identifiers 1

IdentifierTypeStateIssuer
420082644MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20200527002109 MO Practitioner - Nurse Practitioner 7315368495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

1020 N Mason Rd
Suite 210
Saint Louis, MO 63141-6300
Phone (314) 362-1291

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Feb 17, 2025 Accepting new patients
Mercy Clinic Heart and Vascular, LLC CurrentSince Apr 20, 2020 Accepting new patients
Washington University CurrentSince Feb 17, 2025 Accepting new patients
Mercy Clinic East Communities Past Accepting new patients
Washington University Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Saint Luke'S Physician Group Inc Past Accepting new patients

Locations

15945 Clayton Rd
Ste 230A
Ballwin, MO 63011
Phone (636) 256-5240

1203 Smizer Mill Rd
Ste 102
Fenton, MO 63026
Phone (636) 717-1479

755 Dunn Rd
Ste 160
Hazelwood, MO 63042
Phone (314) 251-1775

509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045

2680 Gravois Rd
High Ridge, MO 63049
Phone (314) 842-0602

440 Hometown Plaza Dr
Owensville, MO 65066
Phone (573) 437-6100

1605 Martin Springs Dr
Ste 320
Rolla, MO 65401
Phone (573) 458-6359

1820 Zumbehl Rd
Ste 120
Saint Charles, MO 63303
Phone (314) 801-5350

12348 Old Tesson Rd
Ste 260
Saint Louis, MO 63128
Phone (314) 251-1777

10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807

4280 Mid America Ln
Ste 10
Saint Louis, MO 63129
Phone (314) 692-2807

625 S New Ballas Rd
Ste 2030
Saint Louis, MO 63141
Phone (314) 251-5800

10004 Kennerly Rd
Ste 115A
Saint Louis, MO 63128
Phone (314) 525-1538

1020 N Mason Rd
Ste 100
Saint Louis, MO 63141
Phone (314) 996-3295

1020 N Mason Rd
Ste 210
Saint Louis, MO 63141
Phone (314) 996-3162

625 S New Ballas Rd
Ste 2015
Saint Louis, MO 63141
Phone (314) 251-1775

4921 Parkview Pl
Ste 8B
Saint Louis, MO 63110
Phone (314) 454-8917

7345 Watson Rd
#1
Saint Louis, MO 63119
Phone (314) 692-2807

1001 S Kirkwood Rd
Ste 310
Saint Louis, MO 63122
Phone (314) 692-2807

10012 Kennerly Rd
Ste 300
Saint Louis, MO 63128
Phone (314) 842-0602

12200 Weber Hill Rd
Ste 100
Saint Louis, MO 63127
Phone (314) 698-2400

8 Millstone Campus Dr
Saint Louis, MO 63146
Phone (314) 273-4375

1326 S Service Rd W
Ste 30
Sullivan, MO 63080
Phone (314) 543-5999

521 Anwijo Way
Warrenton, MO 63383
Phone (636) 239-7344

901 Patients First Dr
Ste 2500
Washington, MO 63090

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1982239547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-1291",
            "fax_number": "314-996-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N MASON RD",
            "address_2": "DIV IM CARDIOLOGY, STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416666",
            "telephone_number": "314-362-1291",
            "fax_number": "314-996-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDLE",
        "first_name": "MAE",
        "middle_name": "ARMER",
        "name_prefix": "Ms.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2025-04-17",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2020007750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420082644",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1020 N Mason Rd",
            "address_2": "Div IM Cardiology, Ste 100",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.