1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Pediatrics
  6. NPI Profile

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: July 26, 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
Phone(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
Open in Google Maps ↗

Other Identifiers 2

Other190299Mo-blue Shield
Medicaid206177305MO

Medicare Participation & PECOS CMS

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

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.

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.

DR. DEVIN A CONAWAY D.M.D.
Dentist
4055 LINDELL BLVD
ST LOUIS, MO 63108
St. Louis City (314) 535-7701
DR. STEPHANIE ANNE REFF D.D.S.
Dentist
4055 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 535-7701
DR. RYAN GOERGEN D.M.D.
Dentist (General Practice)
4055 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 535-7701
JESSICA K YOON DDS
Dentist
4055 LINDELL BLVD
ST LOUIS, MO 63108
St. Louis City (314) 535-7701
TATTAMANGALAM CHANDRIKA M.D.
Pediatrics
4055 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 535-7701
DR. KIMBERLY BAPTIST DMD
Dentist
4055 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 535-7701
DR. ELIZABETH SUSAN LANSFORD DDS
Dentist
4055 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 541-2037
DR. BLAINE MICHAEL SAYRE M.D.
Pediatrics
4055 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 535-1422

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.

When was this NPI record last updated?

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