Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Rae Summers, MSN-FNP

Individual provider Family Nurse Practitioner · NPI 1306345624

Stephanie Rae Summers, MSN-FNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2017, 9 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2018
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Practice location Address checks out

11125 Dunn Rd Ste 406
Saint Louis, MO 63136-6132
Phone: (314) 653-5484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1735 Elm Ct, Jefferson City, MO 65101-4129 — (573) 634-4878

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2018003302 (MO)

Record details

NPI number1306345624
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN-FNP
Sole proprietorNo
NPI enumeratedFebruary 2, 2018
Last updated in NPPESJuly 6, 2021
Certification dateMarch 25, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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