Individual provider Active NPI

Lori A Repp, GNP

  • Gerontology Nurse Practitioner
  • Washington, MO
National Provider Identifier
1982817953
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
112881 Issued in MO
Practice address
851 E 5TH St Ste 152
Washington, MO 63090-3128
Phone
(636) 861-7880
NPI assigned
May 7, 2007
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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 112881 MO Primary

Addresses

Primary practice location

851 E 5TH St Ste 152
Washington, MO 63090-3128

Mailing address

851 E 5TH St Ste 152
Washington, MO 63090-3128
Phone (636) 861-7880

Other identifiers 1

IdentifierTypeStateIssuer
424726511MedicaidMO

Other names 1

  • Lori A Copeland Former name

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
I20070524000373 MO Practitioner - Nurse Practitioner 2668579749 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Hyperbaric and Wound Care LLCGroup PAC ID 0345468526, 15 clinicians

Practice addresses (Care Compare)

851 E 5TH St
152 Mercy Clinic Hyperbaric and Wound C
Washington, MO 63090-3128
Phone (636) 861-7880

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Current Accepting new patients
Mercy Clinic East Communities CurrentSince Jun 1, 2017 Accepting new patients
Mercy Clinic Hyperbaric and Wound Care LLC CurrentSince Oct 16, 2022 Accepting new patients
Mercy Clinic East Communities CurrentSince Jun 1, 2017 Accepting new patients

Locations

1390 US Highway 61
Ste G
Crystal Cty, MO 63028
Phone (636) 933-1163

1015 Bowles Ave
Ste 1000
Fenton, MO 63026
Phone (636) 390-1400

9513 Highway 100
New Haven, MO 63068
Phone (573) 237-6100

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144

851 E 5th St
Ste 152
Washington, MO 63090
Phone (636) 239-5155

851 E 5th St
Ste 212
Washington, MO 63090
Phone (636) 239-4144

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

Interoperability endpoints

  • Direct secure messaging: lrepp301093@directc.mercy.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1982817953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST STE 152",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903128",
            "telephone_number": "636-861-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST STE 152",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903128",
            "telephone_number": "636-861-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPP",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "112881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424726511",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "COPELAND",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.