| Kellie Wasson, PMHNP-BC | |
|
500 Medical Dr, Wentzville, MO 63385-3421 | |
| (636) 327-1000 | |
| Not Available |
| Full Name | Kellie Wasson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 500 Medical Dr, Wentzville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235957275 | NPI | - | NPPES |
| 420150983 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2019002386 (Missouri) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2024040280 (Missouri) | Primary |
| Entity Name | Aaa Psyche Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760193619 PECOS PAC ID: 8921478140 Enrollment ID: O20230105000223 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Wasson, PMHNP-BC 2 Cityplace Dr Fl 2, Saint Louis, MO 63141-7390 Ph: (314) 914-2717 | Kellie Wasson, PMHNP-BC 500 Medical Dr, Wentzville, MO 63385-3421 Ph: (636) 327-1000 |
Ebitari O Fregene, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Golden Gate Pkwy, Wentzville, MO 63385 Phone: 314-397-7219 | |
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: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 1598 W Meyer Rd, Wentzville, MO 63385 Phone: 636-332-8228 | |
Mrs. Patricia Ann Rapplean, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Medical Dr, 106, Wentzville, MO 63385 Phone: 636-639-6262 Fax: 636-639-1375 |