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

Chadd Daniel Harkey

Individual provider Family Nurse Practitioner · NPI 1477383032

Chadd Daniel Harkey is a Nurse Practitioner in Bridgeton, Missouri. Qualified in 2024, 2 years ago. Practices with Southeastern Emergency Physicians of Memphis LLC, a 92-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
2
Licensed in
IL, MO
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone: (314) 741-0911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2001 State St, East Saint Louis, IL 62205-1803 — (618) 301-4505
  • 2120 Madison Ave Ste 101, Granite City, IL 62040-4746 — (314) 741-0911

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209031333 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2024030417 (MO)

Record details

NPI number1477383032
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address4837 S State Route 159, Glen Carbon, IL 62034-1905

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southeastern Emergency Physicians Of Memphis Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bridgeton