PHYLICIA LITTLE FNP-BC
NPI 1053782276
Nurse Practitioner - Family in Bridgeton, MO

Q: What is Phylicia Little's NPI number?

The NPI number for Phylicia Little is 1053782276. It was assigned to this individual provider in the NPPES registry on October 14, 2015.

Q: What is Phylicia Little's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Phylicia Little was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.

Active since October 14, 2015PECOS Enrolled

12800 BOENKER LN, BRIDGETON, MO 63044(314) 499-6060(314) 261-9222 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2025, Jul 27, 2020, Aug 18, 2016 (3 updates tracked since 2016).

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About Phylicia Little Fnp-bc NPPES

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

PHYLICIA LITTLE FNP-BC (NPI 1053782276) is an individual family provider in Bridgeton, Missouri, licensed in Missouri (2016027446) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053782276

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePHYLICIA LITTLECredential: FNP-BC

Location Address12800 BOENKER LNBridgeton, MO 63044-2438

Mailing Address12800 Boenker LnBridgeton, MO 63044-2438 · (314) 499-6060 · Fax (314) 261-9222

Phone(314) 499-6060

Fax(314) 261-9222

Sole ProprietorNo

Enumeration DateOctober 14, 2015

Last NPPES UpdateJune 18, 20263 updates tracked since enumeration

NPPES CertifiedJune 18, 2026

✔ NPI 1053782276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2016027446

Also ListedRegistered NurseTaxonomy 163W00000X · License 2009020513 (MO)

12800 BOENKER LN, Bridgeton, MO 63044

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phylicia Little Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

1 supplier30 claims1,460 services$0.37 avg. paid by Medicare

Collagen dressing, sterile, size 16 sq. in. or less, each A6021

DME-Medical/Surgical Supplies · category DA023N

1 supplier82 claims2,652 services$19.97 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

1 supplier152 claims6,224 services$6.96 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

1 supplier142 claims5,517 services$0.93 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6220

DME-Medical/Surgical Supplies · category DA023N

1 supplier14 claims432 services$2.53 avg. paid by Medicare

Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6251

DME-Medical/Surgical Supplies · category DA023N

1 supplier55 claims2,118 services$1.87 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 9

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

AIREAL SHASAUNDAI BISHOP NP

Nurse Practitioner (Gerontology)