NICOLE MARIE WIENCLAW APRN
NPI 1679230742
Nurse Practitioner - Family in Saint Louis, MO
About Nicole Marie Wienclaw Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE MARIE WIENCLAW APRN (NPI 1679230742) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2024034163) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Essex.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Marie Wienclaw Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 Nicole Wienclaw's NPI number?
The NPI number for Nicole Wienclaw is 1679230742. It was assigned to this individual provider in the NPPES registry on November 23, 2021.
Where is Nicole Wienclaw located?
Nicole Wienclaw practices at 1 Childrens Pl, Saint Louis, MO 63110. The listed phone number is (314) 464-5000.
What is Nicole Wienclaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Wienclaw enrolled in Medicare?
Yes. Nicole Wienclaw is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nicole Wienclaw was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Nicole Marie Wienclaw, APRN · NPI 1679230742
Family physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since November 23, 2021.
## Identity
- **NPI:** 1679230742 (Entity type: Individual)
- **Enumerated:** November 23, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2024034163 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CHILDRENS PL, Saint Louis, MO 63110-1002
- **Phone:** (314) 464-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 28, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1679230742) · Data from the CMS NPPES public registry.