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KELLI P WIETHUCHTER FNP
NPI 1720515398
Nurse Practitioner in Saint Louis, MO

Active since May 15, 2017PECOS Enrolled
4921 PARKVIEW PL, SAINT LOUIS, MO 63110(314) 454-8134 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2025, Jan 26, 2022, Nov 6, 2018 and 2 more (5 updates tracked since 2017).

About Kelli P Wiethuchter Fnp NPPES

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

KELLI P WIETHUCHTER FNP (NPI 1720515398) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2016039777) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720515398
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLI P WIETHUCHTERCredential: FNP
Location Address4921 PARKVIEW PLSaint Louis, MO 63110-1032
Mailing Address1149 Woodgate DrKirkwood, MO 63122-1029 · (314) 346-7042
Phone(314) 454-8134
Sole ProprietorNo
Enumeration DateMay 15, 2017
Last NPPES UpdateMay 13, 20255 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1720515398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MO · 2016039777✔ Licensed in MO · 201603977✔ Licensed in IL · 209023299
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2016039777 (MO)
4921 PARKVIEW PL, Saint Louis, MO 63110
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli P Wiethuchter Fnp 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 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.

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.

MS. CHERYL ANNE WOOLSEY PA
Physician Assistant
4921 PARKVIEW PL, DIV SURG HPB, STE 12B
SAINT LOUIS, MO 63110
St. Louis City (314) 747-0410
DR. CHARLES PHILLIPS JONES MD
Urology
4921 PARKVIEW PL, DIV SURG UROLOGY, STE 11C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-8200
DR. PRABHA RANGANATHAN MD
Internal Medicine (Rheumatology)
4921 PARKVIEW PL, DIV IM RHEUMATOLOGY, STE 5C
SAINT LOUIS, MO 63110
St. Louis City (314) 286-2635
DR. RALPH GERARD DACEY JR. MD
Neurological Surgery
4921 PARKVIEW PL, DEPT NEUROLOGICAL SURGERY, STE 6B/6C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-3577
DR. KRASIMIRA MIKHAILOVA MIKHOVA MD
Internal Medicine (Clinical Cardiac Electrophysiology)
4921 PARKVIEW PL, DIV IM CARDIOLOGY, STE 8B
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1291
DR. JEE YOUNG HAN MD
Psychiatry & Neurology (Neurology)
4921 PARKVIEW PL, DIV NEUROLOGY AGING AND DEMENTIA, STE 6C
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1408
MS. MAREN JORGENSEN OT
Occupational Therapist
4921 PARKVIEW PL, DEPT OCCUPATIONAL THERAPY, STE 6F
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1669
DR. ADRIAN SHIFREN MD
Internal Medicine (Pulmonary Disease)
4921 PARKVIEW PL, DIV IM PULMONARY AND CCM, 8TH FL
SAINT LOUIS, MO 63110
St. Louis City (314) 454-8917

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 Kelli Wiethuchter's NPI number?

The NPI number for Kelli Wiethuchter is 1720515398. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Kelli Wiethuchter located?

Kelli Wiethuchter practices at 4921 Parkview Pl, Saint Louis, MO 63110. The listed phone number is (314) 454-8134.

What is Kelli Wiethuchter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelli Wiethuchter enrolled in Medicare?

Yes. Kelli Wiethuchter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelli Wiethuchter was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.