Elizabeth Vollmar, FNP-C
Nurse Practitioner in O Fallon, MO. Individual provider (NPI-1).
NPI number1124490107
StatusActive
Last updated in NPPESJan 18, 2024
Details
- NPI
- 1124490107
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Vollmar
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 29, 2015
- Certification date
- Jan 18, 2024
- Last updated
- Jan 18, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2015037598 | MO | Yes |
| 363LF0000X | Nurse Practitioner, Family | 2015037598 | MO |
Practice location
1101 Highway KO Fallon, MO 63366-8431
Phone 636-379-6363
Mailing address
Po Box 955534Saint Louis, MO 63195-5534
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 34 Nurse Practitioner providers in O Fallon · All 1,566 providers in O Fallon
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