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Ssm St Charles Clinic Medical Group

Family Nurse Practitioner in Lake St Louis, MO · enumerated 2013 · authorized official Laura Pullum, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1518396670

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Registry record

Entity type Organization (Type 2)
Legal business name Ssm St Charles Clinic Medical Group
Practice address 400 Medical Plz, Suite 200, Lake St Louis, MO, 63367
Phone (636) 625-2662
Fax (636) 625-1121
Enumeration date Nov 8, 2013
Last updated in NPPES Nov 8, 2013

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 2013015582 (MO) Primary

Authorized official

Name Laura Pullum
Title Director
Phone (636) 669-2434

Other identifiers

Identifier Type State Issuer
2008020336 Other MO LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Ssm St Charles Clinic Medical Group?
Ssm St Charles Clinic Medical Group is registered in NPPES as a Family Nurse Practitioner (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-08.