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

Dr. Nickolai C Detert, DNP, FNP-C

Individual provider Family Nurse Practitioner · NPI 1154987097

Dr. Nickolai C Detert, DNP, FNP-C is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2019, 7 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4921 Parkview Pl Ste 14A
Saint Louis, MO 63110-1032
Phone: (314) 454-8778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12680 Olive Blvd Ste 300, Saint Louis, MO 63141-6322 — (314) 251-0451

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2019019665 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2019019665 (MO)

Record details

NPI number1154987097
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , FNP-C
Sole proprietorNo
NPI enumeratedMay 16, 2019
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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