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

Dr. Kelly Lee Stromsdorfer, AGNP

Individual provider Primary Care Nurse Practitioner · NPI 1225746910

Dr. Kelly Lee Stromsdorfer, AGNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Practices with Pai Participant 1 LLC, a 168-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

4921 Parkview Pl Div Neuro Aging And Dementia Ste 6C
Saint Louis, MO 63110-1032
Phone: (314) 286-1967
Fax: (314) 286-1985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 2022042863 (MO)

Record details

NPI number1225746910
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedNovember 10, 2022
Last updated in NPPESJune 16, 2026
Certification dateNovember 10, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pai Participant 1 Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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