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

Caitlin Amanda Petry, MSN, FNP-C

Individual provider Nephrology Physician · NPI 1205303948

Caitlin Amanda Petry, MSN, FNP-C is a Nurse Practitioner in Saint Peters, Missouri. Qualified in 2018, 8 years ago. Practices with Minuteclinic Diagnostic of Kansas PA, a 139-clinician group, works from 7 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
8
Licensed in
IL, MO
In the registry since
2018
Specialties on file
4
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

400 Mid Rivers Mall Dr
Saint Peters, MO 63376-1577
Phone: (636) 279-1516
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 1802 Elm St, Canton, MO 63435-1694 — (573) 288-5360
  • 6500 Hospital Dr, Hannibal, MO 63401-6890 — (573) 629-3400
  • 3650 Stardust Dr, Hannibal, MO 63401-2411 — (573) 231-0660
  • 211 S 3rd St, Louisiana, MO 63353-2000 — (573) 754-5555
  • 821 Business Hwy 24 West, Monroe City, MO 63456 — (573) 735-2506
  • 400 S Center St, Shelbina, MO 63468-1404 — (573) 588-4131

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2019039233 (MO)
Nephrology Physician Taxonomy 207RN0300X · Licence 2018040229 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 2018040229 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 209025210 (IL)

Record details

NPI number1205303948
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-C
Sole proprietorNo
NPI enumeratedOctober 31, 2018
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Minuteclinic Diagnostic Of Kansas Pa — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Peters