MRS. PAULA C ELDER ACNP NPI 1962720458

NPI Information

  • NPI: 1962720458
  • Provider Name: MRS. PAULA C ELDER, ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 660 MASON RIDGE CENTER DR STE 300
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (618) 463-8500

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NPI Details

MRS. Paula C Elder, ACNP is an acute care nurse practitioner in Saint Louis, MO with 16 years of experience. MRS. Paula C Elder, ACNP NPI is 1962720458. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2010

The provider's business location address is:

660 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO
ZIP 63141-512
Phone: (618) 463-8500
Fax: (314) 747-4153

The NPI 1962720458 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 5/10/2010 and was last updated on 9/26/2025.

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
1363LA2100XNurse PractitionerAcute Care209021932ILLINOISNo
2363L00000XNurse Practitioner209021932ILLINOISNo
3363L00000XNurse Practitioner2010014014MISSOURINo
4363LA2100XNurse PractitionerAcute Care2010014014MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11962720458MEDICAIDMISSOURI

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: 11/21/2025

NPI Synchronization or Removal

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