KELLI P WIETHUCHTER (FNP) – Nurse Practitioner, NPI 1720515398
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KELLI P WIETHUCHTER (FNP)
4921 PARKVIEW PL
SAINT LOUIS, MO 631101032
Phone: (314) 454-8134
Type: Location
1674, East Swan Circle, Brentwood Forest Condominiums, Brentwood, Saint Louis County, Missouri, 63144, United States
BRENTWOOD, MO 631441115
Phone: (314) 346-7042
Type: Mailing
Ferguson, South Florissant Road, Ferguson, Saint Louis County, Missouri, 63135, United States
FERGUSON, MO 631351942
Phone: (314) 687-2725
Type: Location
614 W JEWEL AVE
KIRKWOOD, MO 631222517
Phone: (314) 346-7042
Type: Mailing
1149 WOODGATE DR
KIRKWOOD, MO 631221029
Phone: (314) 346-7042
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-24
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63110)
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