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

Georgina Fuentes Velasquez, NP

Individual provider Family Nurse Practitioner · NPI 1285234799

Georgina Fuentes Velasquez, NP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2020, 6 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

12101 Woodcrest Executive Dr Ste 102
Saint Louis, MO 63141-5047
Phone: (800) 427-1902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3009 N Ballas Rd Ste 383c, Saint Louis, MO 63131-2324 — (314) 305-1447

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2020026943 (MO)

Record details

NPI number1285234799
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 26, 2020
Last updated in NPPESSeptember 19, 2025
Certification dateSeptember 19, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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