MINDY RUDOLF RN, NNP-BC
NPI 1053834671
Nurse Practitioner - Neonatal in Saint Louis, MO

Q: What is Mindy Rudolf's NPI number?

The NPI number for Mindy Rudolf is 1053834671. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Q: What is Mindy Rudolf's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Mindy Rudolf was last updated on May 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 25, 2017PECOS Enrolled

1 CHILDRENS PL, SAINT LOUIS, MO 63110(314) 323-0763 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2022, Jul 25, 2017 (2 updates tracked since 2017).

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About Mindy Rudolf Rn, Nnp-bc NPPES

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

MINDY RUDOLF RN, NNP-BC (NPI 1053834671) is an individual neonatal provider in Saint Louis, Missouri, licensed in Missouri (104409571) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053834671

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameMINDY RUDOLFCredential: RN, NNP-BC

Location Address1 CHILDRENS PLSaint Louis, MO 63110-1002

Mailing Address1 Childrens Pl Ste 5s15Saint Louis, MO 63110-1002 · (314) 323-0763

Phone(314) 323-0763

Sole ProprietorNo

Enumeration DateJuly 25, 2017

Last NPPES UpdateMay 16, 20222 updates tracked since enumeration

NPPES CertifiedMay 16, 2022

✔ NPI 1053834671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LN0000X

License✔ Licensed in MO · 104409571

1 CHILDRENS PL, Saint Louis, MO 63110

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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)

Mindy Rudolf Rn, Nnp-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 63110 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.

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