ELIZABETH MARIE NANNINI
NPI 1104707736
Nurse Practitioner - Adult Health in Chesterfield, MO

Active since September 10, 2025PECOS Enrolled
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017(636) 237-4700 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Marie Nannini NPPES

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

ELIZABETH MARIE NANNINI (NPI 1104707736) is an individual adult health provider in Chesterfield, Missouri, licensed in Missouri (2025039106) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1104707736
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameELIZABETH MARIE NANNINI
Location Address15740 S OUTER 40 RDChesterfield, MO 63017-2004
Mailing Address1085 Harness DrSaint Charles, MO 63304-2426 · (314) 809-0202
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 10, 2025
NPPES CertifiedAugust 25, 2025
NPI 1104707736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MO · 2025039106
15740 S OUTER 40 RD, Chesterfield, MO 63017

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elizabeth Marie Nannini is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951895754
PECOS Enrollment IDI20260430000474
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 63017 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.

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.

Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Family Medicine
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Psychiatry & Neurology (Neurology)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Counselor (Professional)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017

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 Elizabeth Nannini's NPI number?

The NPI number for Elizabeth Nannini is 1104707736. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Where is Elizabeth Nannini located?

Elizabeth Nannini practices at 15740 S Outer 40 Rd, Chesterfield, MO 63017. The listed phone number is (636) 237-4700.

What is Elizabeth Nannini's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Elizabeth Nannini enrolled in Medicare?

Yes. Elizabeth Nannini is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Nannini was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.