Doctor profile · Federal record
Dr. Kelly Wassel, PNP
Pediatric Nurse Practitioner · Saint Louis, MO
- NPI 1225303522
- 14 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
12360 Manchester RD, Ste 100
Saint Louis, MO 631314302
(314) 966-8500
fax (314) 996-4499
Credentials & registration
- NPI registered
- March 2012 — 14 yrs on file
- Profile last updated
- June 13, 2019
- Specialty taxonomy
- 363LP0200X — NUCC code
- State license (1)
- Missouri #2012006258
- Medicaid
- MO #420020002
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225303522. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$18
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Pfizer INC. | 1 | $18.21 |
By nature of payment
Frequently asked questions
What is Dr. Kelly Wassel's medical specialty?
Dr. Kelly Wassel practices Pediatric Nurse Practitioner in Saint Louis, MO.
Where does Dr. Kelly Wassel practice?
Dr. Kelly Wassel practices at 12360 Manchester RD, Saint Louis, MO 631314302. Office phone: 3149668500.
What is Dr. Kelly Wassel's NPI?
Dr. Kelly Wassel's National Provider Identifier (NPI) is 1225303522, issued by NPPES.