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STEPHANIE MICHELLE TATE-PATTERSON NP
NPI 1053963470
Nurse Practitioner - Family in East Saint Louis, IL

Active since July 16, 2019PECOS Enrolled
4901 STATE ST, EAST SAINT LOUIS, IL 62205(618) 646-3700 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1053963470
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE MICHELLE TATE-PATTERSONCredential: NP
Location Address4901 STATE STEast Saint Louis, IL 62205-1356
Mailing Address26 Clark DrFairview Heights, IL 62208-1618 · (618) 593-4140
Phone(618) 646-3700
Sole ProprietorYes
Enumeration DateJuly 16, 2019
✔ NPI 1053963470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209019511
4901 STATE ST, East Saint Louis, IL 62205
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Michelle Tate-patterson Np 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 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.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Other Providers at the Same Location NPPES 2

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

MISS DESTINEE HOPE GROVE LAT, ATC
Specialist/Technologist (Athletic Trainer)
4901 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 646-3000
CHRISTA K HOLMON APN, NP-C
Nurse Practitioner (Family)
4901 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 482-4562

Frequently Asked Questions

What is Stephanie Tate-patterson's NPI number?

The NPI number assigned to this healthcare provider is 1053963470, enumerated as an "individual" on July 16, 2019.

Where is the provider located?

The provider is located at 4901 STATE ST EAST SAINT LOUIS, IL 62205 and the phone number is (618) 646-3700.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

What insurance does Stephanie Tate-patterson accept?

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.