Kayleigh Nissle, | |
1603 Wentzville Pkwy, Wentzville, MO 63385-3826 | |
(844) 776-7200 | |
Not Available |
Full Name | Kayleigh Nissle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 1603 Wentzville Pkwy, Wentzville, Missouri |
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 |
---|---|---|---|
1740883495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 250088 (Arizona) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2022022412 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Joseph Health Center | Saint charles, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Care St Louis | 7810800737 | 143 |
Entity Name | Ssm Health Care St Louis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Entity Name | Ssm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
Mailing Address | Practice Location Address |
---|---|
Kayleigh Nissle, Po Box 955534, Saint Louis, MO 63195-5534 Ph: () - | Kayleigh Nissle, 1603 Wentzville Pkwy, Wentzville, MO 63385-3826 Ph: (844) 776-7200 |
Ebitari 0 Fregene, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Golden Gate Pkwy, Wentzville, MO 63385 Phone: 314-397-7219 | |
Sally Ann Breen, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 W Pearce Blvd, Wentzville, MO 63385 Phone: 636-856-5362 | |
Jordan Lee Edwards, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Creekside Office Dr, Wentzville, MO 63385 Phone: 636-625-5200 | |
Eileen Royal, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1890 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-887-2667 | |
Monica Washburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1603 Wentzville Pkwy, Wentzville, MO 63385 Phone: 844-776-7200 | |
Elizabeth Johnson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 W Pearce Blvd, Wentzville, MO 63385 Phone: 636-887-3020 Fax: 636-887-3022 | |
Abigail Marie Anderson Schroer, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1598 W Meyer Rd, Wentzville, MO 63385 Phone: 636-332-8228 |