| Nicole Menichino, NP | |
|
16216 Baxter Rd Ste 100, Chesterfield, MO 63017-4778 | |
| (636) 449-4700 | |
| (636) 449-2595 |
| Full Name | Nicole Menichino |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 16216 Baxter Rd Ste 100, Chesterfield, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053902627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2016004551 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2021004371 (Missouri) | Primary |
| Entity Name | Complex Illness Management Of St Lukes Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790441046 PECOS PAC ID: 5193193266 Enrollment ID: O20221121001744 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Menichino, NP 16216 Baxter Rd Ste 100, Chesterfield, MO 63017-4778 Ph: (636) 449-4700 | Nicole Menichino, NP 16216 Baxter Rd Ste 100, Chesterfield, MO 63017-4778 Ph: (636) 449-4700 |
Mrs. Elizabeth Ann Curtis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15740 S Outer 40 Rd, Chesterfield, MO 63017 Phone: 636-237-4200 | |
Lindsey Marie Illinger, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd Ste 400, Chesterfield, MO 63017 Phone: 314-205-6744 | |
Stephanie Lickerman, APRN, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 121 Saint Lukes Center Dr, Ste 303, Chesterfield, MO 63017 Phone: 314-434-3278 Fax: 314-590-5949 | |
Mrs. Toni Edwards, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-878-2888 | |
Ann Marie Byrd, RN, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15838 Fountain Plaza Dr Ste A, Chesterfield, MO 63017 Phone: 636-484-5277 | |
Maria Theresa Weir, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 S Woods Mill Rd, Suite 410n, Chesterfield, MO 63017 Phone: 314-469-6224 Fax: 314-469-0744 | |
Mrs. Allison Elaine Hunt, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1751 Clarkson Rd, Chesterfield, MO 63017 Phone: 636-519-9559 |