Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Vanderslice Henneboehle, NP

Individual provider Nurse Practitioner · NPI 1538642863

Alyssa Vanderslice Henneboehle, NP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2017, 9 years ago. Practices with Mid-South Home Care Services LLC, a 101-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Missouri.

Years since qualifying
9
Licensed in
CO, MO
In the registry since
2018
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2315 Dougherty Ferry Rd
Saint Louis, MO 63122-3379
Phone: (314) 617-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6301 W 38th Ave, Wheat Ridge, CO 80033-5057 — (303) 940-9118
  • 3451 Union Blvd, Saint Louis, MO 63115-1142 — (314) 888-0970

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2024019220 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence APN.0994741-NP (CO)
Nurse Practitioner Taxonomy 363L00000X · Licence 2024019220 (MO)

Record details

NPI number1538642863
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 12, 2018
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mid-South Home Care Services Llc — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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