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

MS. Ellen Blake Kegin, AGNP

Individual provider Gerontology Nurse Practitioner · NPI 1952169591

MS. Ellen Blake Kegin, AGNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2023, 3 years ago. Practices with Washington University, a 2,986-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

1044 N Mason Rd Div Im General Med Ste 330
Saint Louis, MO 63141-6431
Phone: (314) 996-8103
Fax: (314) 996-3230
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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 2024007848 (MO)

Record details

NPI number1952169591
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedMarch 8, 2024
Last updated in NPPESApril 17, 2025
Certification dateMarch 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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