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

Mrs. Anita Detchemendy, ANP

Individual provider Gerontology Nurse Practitioner · NPI 1225586936

Mrs. Anita Detchemendy, ANP is a Nurse Practitioner in Chesterfield, Missouri. Qualified in 2015, 11 years ago. Practices with Clinic of Internal Medicine LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2016
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Practice location Address checks out

121 Saint Lukes Center Dr Ste 506
Chesterfield, MO 63017-3518
Phone: (314) 576-8102
Fax: (314) 590-5930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AG0216198 (MO)

Record details

NPI number1225586936
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedSeptember 12, 2016
Last updated in NPPESSeptember 19, 2016

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 Clinic Of Internal Medicine Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Chesterfield