Heritage Wellness Clinic LLC
NPI 1619483294 · Internal Medicine Physician · Saint Peters, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heritage Wellness Clinic LLC is a Internal Medicine Physician organization in Saint Peters, MO (NPI 1619483294).
Provider details
- NPI number
- 1619483294
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Wyatt, Cred. Spec.(636) 277-9927
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-12-19
- Last updated
- 2017-12-19
Frequently asked questions
- What is Heritage Wellness Clinic LLC's NPI number?
- Heritage Wellness Clinic LLC's National Provider Identifier (NPI) is 1619483294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heritage Wellness Clinic LLC?
- Heritage Wellness Clinic LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Heritage Wellness Clinic LLC located?
- Heritage Wellness Clinic LLC's practice location on file with NPPES is 2730 S Saint Peters Pkwy, Saint Peters, MO 63303-5677.
- What is Heritage Wellness Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Heritage Wellness Clinic LLC is (636) 277-9927.
- Does Heritage Wellness Clinic LLC accept Medicare?
- Heritage Wellness Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Heritage Wellness Clinic LLC?
- The authorized official listed on Heritage Wellness Clinic LLC's NPPES record is Kimberly Wyatt, Cred. Spec.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heritage Wellness Clinic LLC's NPI active?
- Yes — Heritage Wellness Clinic LLC's NPI (1619483294) is active in the NPPES registry as of the last update on 2017-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.