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

Ilunga Katambwa, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104400837

Ilunga Katambwa, NP is a Nurse Practitioner in Saint Louis, Missouri. Graduated from Southern Illinois University School of Medicine in 2023, 3 years ago. Practices with Missouri Medical Providers LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Trained at
Southern Illinois University School of Medicine
Licensed in
MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1621 N 1st St
Saint Louis, MO 63102-1299
Phone: (314) 922-1822
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2023035006 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2021016520 (MO)

Record details

NPI number1104400837
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedMay 10, 2021
Last updated in NPPESJanuary 13, 2024
Certification dateJanuary 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Missouri Medical Providers Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Louis