MS. MISTY D WHEELOCK ANP NPI 1073700217

NPI Information

  • NPI: 1073700217
  • Provider Name: MS. MISTY D WHEELOCK, ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10050 KENNERLY RD STE 2400
    SAINT LOUIS, MO
    ZIP 63128
  • Phone: (314) 849-6066

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NPI Details

MS. Misty D Wheelock, ANP is an adult health nurse practitioner in Saint Louis, MO with 25 years of experience. MS. Misty D Wheelock, ANP NPI is 1073700217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10050 KENNERLY RD STE 2400
SAINT LOUIS, MO
ZIP 63128-193
Phone: (314) 849-6066

The NPI 1073700217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 6/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health142467MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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