DR. MARYJO HERNANDEZ-ZIPFEL MD
NPI 1023036746
Pediatrics - Adolescent Medicine in Saint Louis, MO

Active since July 18, 2006PECOS Enrolled
4055 LINDELL BLVD, SAINT LOUIS, MO 63108(314) 535-7701 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Maryjo Hernandez-zipfel Md NPPES

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

DR. MARYJO HERNANDEZ-ZIPFEL MD (NPI 1023036746) is an individual adolescent medicine provider in Saint Louis, Missouri, licensed in Missouri (2004009985) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023036746
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. MARYJO HERNANDEZ-ZIPFELCredential: MD
Location Address4055 LINDELL BLVDSaint Louis, MO 63108-3201
Mailing Address4055 Lindell BlvdSaint Louis, MO 63108-3201 · (314) 535-7701
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateMay 15, 2019
✔ NPI 1023036746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in MO · 2004009985
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 2004009985 (MO)
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 2004009985 (MO)
4055 LINDELL BLVD, Saint Louis, MO 63108

Other Identifiers 2

Other190299Mo-blue Shield
Medicaid206177305MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maryjo Hernandez-zipfel Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Maryjo Hernandez-zipfel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
615 S NEW BALLAS RD
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 435 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

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

Dentist
4055 LINDELL BLVD
ST LOUIS, MO 63108
Dentist
4055 LINDELL BLVD
SAINT LOUIS, MO 63108
Dentist (General Practice)
4055 LINDELL BLVD
SAINT LOUIS, MO 63108
Dentist
4055 LINDELL BLVD
ST LOUIS, MO 63108
Pediatrics
4055 LINDELL BLVD
SAINT LOUIS, MO 63108
Dentist
4055 LINDELL BLVD
SAINT LOUIS, MO 63108
Dentist
4055 LINDELL BLVD
SAINT LOUIS, MO 63108
Pediatrics
4055 LINDELL BLVD
SAINT LOUIS, MO 63108

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 Maryjo Hernandez-zipfel's NPI number?

The NPI number for Maryjo Hernandez-zipfel is 1023036746. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Maryjo Hernandez-zipfel located?

Maryjo Hernandez-zipfel practices at 4055 Lindell Blvd, Saint Louis, MO 63108. The listed phone number is (314) 535-7701.

What is Maryjo Hernandez-zipfel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Maryjo Hernandez-zipfel enrolled in Medicare?

Yes. Maryjo Hernandez-zipfel is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maryjo Hernandez-zipfel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryjo Hernandez-zipfel reassigns Medicare benefits to Mercy Hospitals East Communities (Saint Louis, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maryjo Hernandez-zipfel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maryjo Hernandez-zipfel accept?

Health plans from Anthem Blue Cross and Blue Shield list Maryjo Hernandez-zipfel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryjo Hernandez-zipfel was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.