Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carole Ettinger, APRN-FNP

Individual provider Family Nurse Practitioner · NPI 1154874691

Carole Ettinger, APRN-FNP is a Nurse Practitioner in Creve Coeur, Missouri. Qualified in 2015, 11 years ago. Practices with St Lukes Medical Group, a 15-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2016
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Practice location Address checks out

11550 Olive Blvd
Creve Coeur, MO 63141-7111
Phone: (314) 542-7690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2016010733 (MO)

Record details

NPI number1154874691
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-FNP
Sole proprietorNo
NPI enumeratedAugust 2, 2016
Last updated in NPPESAugust 2, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice St Lukes Medical Group — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Creve Coeur