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

Stephanie Wittkoetter, AGNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1568172260

Stephanie Wittkoetter, AGNP-C is a Nurse Practitioner in O Fallon, Missouri. Qualified in 2018, 8 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2022

Practice location Address checks out

300 Winding Woods Dr Ste 222
O Fallon, MO 63366-4773
Phone: (636) 978-8600
Fax: (636) 978-8602
Show map & directions

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

Additional practice locations (1)

  • 12445 Dorsett Rd, Maryland Heights, MO 63043-3907 — (314) 343-4440

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 2022038661 (MO)

Record details

NPI number1568172260
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedDecember 5, 2022
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mercy Clinic East Communities — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in O Fallon