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VICKIE JOANN CARLL ANP
NPI 1710902176
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
6420 CLAYTON RD, SAINT LOUIS, MO 63117(314) 317-0600(314) 317-0606 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vickie Joann Carll Anp NPPES

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

VICKIE JOANN CARLL ANP (NPI 1710902176) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (109547) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1710902176
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameVICKIE JOANN CARLLCredential: ANP
Location Address6420 CLAYTON RDSaint Louis, MO 63117-1811
Mailing Address12125 Woodcrest Executive Dr, Suite 220Saint Louis, MO 63141-5001 · (314) 317-0600 · Fax (314) 317-0606
Phone(314) 317-0600
Fax(314) 317-0606
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 13, 2006
Last NPPES UpdateAugust 15, 2013
✔ NPI 1710902176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 109547
6420 CLAYTON RD, Saint Louis, MO 63117
Open in Google Maps ↗

Other Identifiers 2

Medicaid1710902176MO
Medicare UPINP22478

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

Vickie Joann Carll Anp 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 ID6002838620
PECOS Enrollment IDI20051227000002
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
110 services108 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
46%76 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KRISTA HARRY PHARMD
Pharmacist
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8341
ANDERSON WEST JR. REGISTERED NURSE
Registered Nurse
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8644
VICTORIA CERNETICH MS, RD, LD
Dietitian, Registered
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8891
DR. SHOUYING DU M.D
Pathology (Anatomic Pathology & Clinical Pathology)
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 344-7525
AUDREY KATE DOMBROWSKI MS, RD, LD
Dietitian, Registered
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8891
MARISA CLEMENTE
Occupational Therapist
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8000
LAUREN VALERIA EVELTI
Student in an Organized Health Care Education/Training Program
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8000
PAMELA HAMPTON CRNA
Nurse Anesthetist, Certified Registered
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8442

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 Vickie Carll's NPI number?

The NPI number for Vickie Carll is 1710902176. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Vickie Carll located?

Vickie Carll practices at 6420 Clayton Rd, Saint Louis, MO 63117. The listed phone number is (314) 317-0600.

What is Vickie Carll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Vickie Carll enrolled in Medicare?

Yes. Vickie Carll 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.

Is Vickie Carll affiliated with any hospitals?

According to CMS data, Vickie Carll is affiliated with Ssm St Joseph Health Center and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Vickie Carll was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.