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

MS. Lisa A Koester-Wiedemann, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1184642662

MS. Lisa A Koester-Wiedemann, ANP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2000, 26 years ago. Practices with Washington University, a 2,986-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
26
Licensed in
MO
In the registry since
2006
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Practice location Address checks out

4205 Forest Park Ave Div Im Nephrology
Saint Louis, MO 63108-2810
Phone: (314) 286-0800
Fax: (314) 286-0855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 134512 (MO)

Record details

NPI number1184642662
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESApril 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

Other providers in Saint Louis