1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

VICTORIA M WITTGEN
NPI 1003602582
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since April 19, 2025PECOS Enrolled
1402 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-9870 Get Directions Write a Review

NPPES record last updated: April 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Victoria M Wittgen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTORIA M WITTGEN (NPI 1003602582) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003602582
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameVICTORIA M WITTGEN
Location Address1402 S GRAND BLVDSaint Louis, MO 63104-1004
Mailing Address1402 S Grand BlvdSaint Louis, MO 63104-1004 · (314) 977-9870
Phone(314) 977-9870
Sole ProprietorNo
Enumeration DateApril 19, 2025
NPPES CertifiedApril 19, 2025
✔ NPI 1003602582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1402 S GRAND BLVD, Saint Louis, MO 63104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria M Wittgen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALA YAMOUT M.D.
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
ADAM BALES D.O.
Anesthesiology
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
ALLISON NICOLE PODSEDNIK GARDNER MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3811
DR. KATHERINE JASKOWIAK ROBBINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4547
DR. VIVIAN MAI HATHUC D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4547
TERRY J BUJNAK JR. DO
Orthopaedic Surgery
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3375
MS. FRANCESCA VACCA
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-8694
NEELOFUR NAZEER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-8475

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria Wittgen's NPI number?

The NPI number for Victoria Wittgen is 1003602582. It was assigned to this individual provider in the NPPES registry on April 19, 2025.

Where is Victoria Wittgen located?

Victoria Wittgen practices at 1402 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-9870.

What is Victoria Wittgen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Victoria Wittgen enrolled in Medicare?

Yes. Victoria Wittgen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victoria Wittgen was last updated on April 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.