Individual provider Active NPI

Amy L Thayer, FNP-C

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1992161210
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2015044896 Issued in MO
Practice address
2821 N Ballas Rd Ste C-45
Saint Louis, MO 63131-2321
Phone
(314) 918-5508
Fax
(314) 918-5052
NPI assigned
Jan 4, 2016
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2015044896 MO Primary

Addresses

Primary practice location

2821 N Ballas Rd Ste C-45
Saint Louis, MO 63131-2321

Mailing address

2821 N Ballas Rd Ste C-45
Saint Louis, MO 63131-2321
Phone (314) 918-5508

Other names 1

  • Amy Pytlinski Other 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
I20160202001113 MO Practitioner - Nurse Practitioner 7618271222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2821 N Ballas Rd
Suite C 45
Saint Louis, MO 63131-2321

801 York St
Manitowoc, WI 54220-4630

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Jan 18, 2016 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Jan 18, 2016 Accepting new patients
St. Louis Dermatology and Surgery Center, PC Current Accepting new patients
Forefront Dermatology, S.C. Current Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

130 Richardson Xing
Ste 130
Arnold, MO 63010
Phone (636) 489-4770

1223 Maple St
Farmington, MO 63640
Phone (573) 760-0091

12855 N 40 Dr
Ste 180
Saint Louis, MO 63141
Phone (314) 878-5599

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: amy.thayer@forefrontdermatology.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1992161210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD STE C-45",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312321",
            "telephone_number": "314-918-5508",
            "fax_number": "314-918-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N BALLAS RD STE C-45",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312321",
            "telephone_number": "314-918-5508",
            "fax_number": "314-918-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2015044896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PYTLINSKI",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.