ALYSSA VANDERSLICE HENNEBOEHLE NP
NPI 1538642863
Nurse Practitioner - Family in Saint Louis, MO

Active since September 12, 2018PECOS EnrolledAccepts Medicare Assignment
2315 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122(314) 617-2000 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2026, Aug 7, 2025, May 9, 2024 and 1 more (4 updates tracked since 2018).

About Alyssa Vanderslice Henneboehle Np NPPES

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

ALYSSA VANDERSLICE HENNEBOEHLE NP (NPI 1538642863) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2024019220) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1538642863
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALYSSA VANDERSLICE HENNEBOEHLECredential: NP
Location Address2315 DOUGHERTY FERRY RDSaint Louis, MO 63122-3379
Mailing AddressPo Box 740019Atlanta, GA 30374-0019 · (773) 644-3941
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 12, 2018
Last NPPES UpdateJanuary 7, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
NPI 1538642863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2024019220
Also ListedNurse PractitionerTaxonomy 363L00000X · License APN.0994741-NP (CO), 2024019220 (MO)
2315 DOUGHERTY FERRY RD, Saint Louis, MO 63122

Other Names 1

Former Name (1)Alyssa Laine Vanderslice

Secondary Practice Locations 2

Location 16301 W 38th AveWheat Ridge, CO 80033-5057 · Phone (303) 940-9118
Location 23451 Union BlvdSaint Louis, MO 63115-1142 · Phone (314) 888-0970

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alyssa Vanderslice Henneboehle Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294089793
PECOS Enrollment IDI20260106001216
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 63122 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers13 claims13 services$54.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
2315 DOUGHERTY FERRY RD, SUITE 109B
SAINT LOUIS, MO 63122
Nurse Anesthetist, Certified Registered
2315 DOUGHERTY FERRY RD
SAINT LOUIS, MO 63122
Psychiatry & Neurology (Neurology)
2315 DOUGHERTY FERRY RD, SUITE 207
SAINT LOUIS, MO 63122
Psychiatry & Neurology (Neurology)
2315 DOUGHERTY FERRY RD, SUITE 207
SAINT LOUIS, MO 63122
Colon & Rectal Surgery
2315 DOUGHERTY FERRY RD, SUITE 107
SAINT LOUIS, MO 63122
Family Medicine
2315 DOUGHERTY FERRY RD
SAINT LOUIS, MO 63122
Anesthesiology
2315 DOUGHERTY FERRY RD, SUITE 107
ST. LOUIS, MO 63122
Physical Therapist
2315 DOUGHERTY FERRY RD, SUITE 209
SAINT LOUIS, MO 63122

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 Alyssa Henneboehle's NPI number?

The NPI number for Alyssa Henneboehle is 1538642863. It was assigned to this individual provider in the NPPES registry on September 12, 2018. The provider is also known as Alyssa Laine Vanderslice.

Where is Alyssa Henneboehle located?

Alyssa Henneboehle practices at 2315 Dougherty Ferry Rd, Saint Louis, MO 63122. The listed phone number is (314) 617-2000.

What is Alyssa Henneboehle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alyssa Henneboehle enrolled in Medicare?

Yes. Alyssa Henneboehle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alyssa Henneboehle was last updated on January 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.