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

Mrs. Holly J Wiesehan, ACNP

Individual provider Gerontology Nurse Practitioner · NPI 1609260116

Mrs. Holly J Wiesehan, ACNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2014, 12 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2015
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

1020 N Mason Rd Div Im Cardiology Ste 100
Saint Louis, MO 63141-6666
Phone: (314) 362-1291
Fax: (314) 996-3268
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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 2015006317 (MO)

Record details

NPI number1609260116
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP
Sole proprietorNo
NPI enumeratedMarch 23, 2015
Last updated in NPPESSeptember 2, 2025
Certification dateAugust 8, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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