1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Nurse Practitioner
  6. NPI Profile

MELINDA JO WOLTERS LA SALLE MSN, ACNP-BC
NPI 1285912832
Nurse Practitioner - Acute Care in Saint Louis, MO

Active since August 01, 2011PECOS Enrolled
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 652-4100 Get Directions Write a Review

NPPES record last updated: April 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melinda Jo Wolters La Salle Msn, Acnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELINDA JO WOLTERS LA SALLE MSN, ACNP-BC (NPI 1285912832) is an individual acute care provider in Saint Louis, Missouri, licensed in Missouri (2011015338) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1285912832
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMELINDA JO WOLTERS LA SALLECredential: MSN, ACNP-BC
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing Address4100 Forest Park Ave Apt 205Saint Louis, MO 63108-2885 · (314) 709-8322
Phone(314) 652-4100
Sole ProprietorNo
Enumeration DateAugust 1, 2011
Last NPPES UpdateApril 4, 2018
✔ NPI 1285912832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MO · 2011015338
Also ListedRegistered NurseTaxonomy 163W00000X · License 2010031271 (MO)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2011015338 (MO)
915 N GRAND BLVD, Saint Louis, MO 63106
Open in Google Maps ↗

Other Names 1

Former Name (1)Melinda Jo Crain

Secondary Practice Location 1

Location 11027 Bellevue Ave, Suite 200Saint Louis, MO 63117-1851 · Phone (314) 645-6450 · Fax (314) 645-2560

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melinda Jo Wolters La Salle Msn, Acnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW CHRISTOPHER SIMPSON O.D.
Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. CHARMIN MEYATTA GIBSON M.S.W.
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4110
CONOR MCCARTNEY M.D.
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
ALITA BILLOPS CNP
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
STEPHANIE ADAMS
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 289-7676
NAGLA ABDELMALEK M.D.
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
DR. JAMES MICHAEL HASIK DDS
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. TRACY LANES CRNA
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melinda La Salle's NPI number?

The NPI number for Melinda La Salle is 1285912832. It was assigned to this individual provider in the NPPES registry on August 1, 2011. The provider is also known as Melinda Jo Crain.

Where is Melinda La Salle located?

Melinda La Salle practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Melinda La Salle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Melinda La Salle enrolled in Medicare?

Yes. Melinda La Salle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melinda La Salle was last updated on April 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.