Mary Withoelter, NURSEPRACTITIONER
Mary Withoelter, NURSEPRACTITIONER is a Nurse Practitioner in Ofallon, Missouri. Qualified in 2018, 8 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 8
- Licensed in
- MO
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
2630 State Highway KOfallon, MO 63368
Phone: (636) 980-5300
Fax: (636) 980-5344
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 9556 Manchester Rd, Saint Louis, MO 63119-1313 — (314) 373-5740
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 2019033706 (MO) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 2019033706 (MO) |
Record details
| NPI number | 1982188389 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | September 20, 2018 |
| Last updated in NPPES | September 18, 2025 |
| Certification date | September 18, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Physician Groups Lc — 524 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Ofallon
-
Tara Lynn Barnes-Cherry, APRN, FNP-BC
2630 State Highway K, Ofallon, MO 63368 · (636) 980-5300