STEPHANIE MICHELLE TATE-PATTERSON NP
NPI 1053963470
Nurse Practitioner - Family in East Saint Louis, IL
About Stephanie Michelle Tate-patterson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE MICHELLE TATE-PATTERSON NP (NPI 1053963470) is an individual family provider in East Saint Louis, Illinois, licensed in Illinois (209019511) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie Michelle Tate-patterson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Tate-patterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63125
- Reassigned Medicare billing, Missouri enrollment
- 21 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST SAINT LOUIS, IL 62205
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 Stephanie Tate-patterson's NPI number?
The NPI number for Stephanie Tate-patterson is 1053963470. It was assigned to this individual provider in the NPPES registry on July 16, 2019.
Where is Stephanie Tate-patterson located?
Stephanie Tate-patterson practices at 4901 State St, East Saint Louis, IL 62205. The listed phone number is (618) 646-3700.
What is Stephanie Tate-patterson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Tate-patterson enrolled in Medicare?
Yes. Stephanie Tate-patterson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephanie Tate-patterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Tate-patterson reassigns Medicare benefits to Institute For Research And Education In Family Medicine (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 Stephanie Tate-patterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stephanie Tate-patterson was last updated on July 16, 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.
# Stephanie Michelle Tate-Patterson, NP · NPI 1053963470
Family physician in East Saint Louis, Illinois. Individual provider, active in the CMS NPPES registry since July 16, 2019.
## Identity
- **NPI:** 1053963470 (Entity type: Individual)
- **Enumerated:** July 16, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209019511 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4901 STATE ST, East Saint Louis, IL 62205-1356
- **Phone:** (618) 646-3700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Institute For Research And Education In Family Medicine (NPI 1972567923, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1053963470) · Data from the CMS NPPES public registry.