MATTHEW NESTER
NPI 1104629591
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 31, 2025PECOS Enrolled
1402 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 617-2408 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Nester NPPES

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

MATTHEW NESTER (NPI 1104629591) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104629591
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW NESTER
Location Address1402 S GRAND BLVDSaint Louis, MO 63104-1004
Mailing Address502 S Fremont Ave Apt 1024Tampa, FL 33606-4310 · (314) 703-2502
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 29, 2025
NPI 1104629591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1402 S GRAND BLVD, Saint Louis, MO 63104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew Nester 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 20

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

Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiology
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Orthopaedic Surgery
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104

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 Matthew Nester's NPI number?

The NPI number for Matthew Nester is 1104629591. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Matthew Nester located?

Matthew Nester practices at 1402 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 617-2408.

What is Matthew Nester's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Matthew Nester enrolled in Medicare?

Yes. Matthew Nester is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Nester was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.