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

Katie Stafford

Individual provider Family Nurse Practitioner · NPI 1508359043

Katie Stafford is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2015, 11 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

12200 Weber Hill Rd Ste 100
Saint Louis, MO 63127-1569
Phone: (314) 698-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2018029917 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2009005945 (MO)

Record details

NPI number1508359043
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 9, 2018
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mercy Clinic East Communities — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Saint Louis