| Danielle Nicole Fries, AGNP-BC | |
|
6812 State Route 162 Ste 200, Maryville, IL 62062-8562 | |
| (618) 288-0900 | |
| (618) 288-0909 |
| Full Name | Danielle Nicole Fries |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 6812 State Route 162 Ste 200, Maryville, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093256612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 2017007578 (Missouri) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 209015785 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Hospital | Maryville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Of St. Louis, Inc | 6204723786 | 59 |
| Anderson Medical Group Llc | 5193792018 | 122 |
| Urology Of St. Louis, Inc | 6204723786 | 59 |
| Entity Name | Urology Of St. Louis, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528017191 PECOS PAC ID: 6204723786 Enrollment ID: O20050629000005 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Nicole Fries, AGNP-BC 12855 N 40 Dr Ste 375, Saint Louis, MO 63141-8657 Ph: (314) 567-6071 | Danielle Nicole Fries, AGNP-BC 6812 State Route 162 Ste 200, Maryville, IL 62062-8562 Ph: (618) 288-0900 |
Mrs. Katherine Anne Burnley, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2133 Vadalabene Dr, Suite 5b, Maryville, IL 62062 Phone: 618-288-7605 Fax: 618-288-7644 | |
Mrs. Christie Marie Keen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 Fax: 618-288-4088 | |
Alyssa Ruwe Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 123, Maryville, IL 62062 Phone: 618-288-9460 Fax: 618-288-9461 | |
Mrs. Joann Marie Wilson, RN, APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2023 Vadalabene Dr Ste 300, Maryville, IL 62062 Phone: 618-288-6722 Fax: 618-288-2077 | |
Jennifer D Wesselman-williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr Ste 200, Maryville, IL 62062 Phone: 618-288-7408 Fax: 618-288-7418 | |
Deanna Moorman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062 Phone: 618-288-7408 |