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

Paige Nicole Ponticello, MSN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1033840228

Paige Nicole Ponticello, MSN, FNP-C is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Practices with Mercy Clinic Trauma and General Surgery LLC, a 45-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

621 S New Ballas Rd Ste 560A
Saint Louis, MO 63141-8261
Phone: (314) 251-6440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2022022670 (MO)

Record details

NPI number1033840228
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-C
Sole proprietorNo
NPI enumeratedJune 20, 2022
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mercy Clinic Trauma And General Surgery Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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