GLORIA MICHELLE PAUL EDACHERIL NP
NPI 1144502253
Nurse Practitioner - Family in O Fallon, MO

Q: What is Gloria Michelle Edacheril's NPI number?

The NPI number for Gloria Michelle Edacheril is 1144502253. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Q: What is Gloria Michelle Edacheril's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 14, 2011PECOS EnrolledAccepts Medicare Assignment

20 PROGRESS POINT PKWY STE 108, O FALLON, MO 63368(636) 344-2400(636) 344-2401 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2021, Sep 13, 2018 (2 updates tracked since 2018).

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About Gloria Michelle Paul Edacheril Np NPPES

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

GLORIA MICHELLE PAUL EDACHERIL NP (NPI 1144502253) is an individual family provider in O Fallon, Missouri, licensed in Missouri (2011011839) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Poplar Bluff, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1144502253

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGLORIA MICHELLE PAUL EDACHERILCredential: NP

Location Address20 PROGRESS POINT PKWY STE 108O Fallon, MO 63368

Mailing Address20 Progress Point Pkwy Ste 108O Fallon, MO 63368-2207 · (636) 344-2400 · Fax (636) 344-2401

Phone(636) 344-2400

Fax(636) 344-2401

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateSeptember 14, 2011

Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration

NPPES CertifiedMarch 12, 2021

✔ NPI 1144502253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2011011839

Also ListedNurse PractitionerTaxonomy 363L00000X · License 2011011839 (MO)

20 PROGRESS POINT PKWY STE 108, O Fallon, MO 63368

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Secondary Practice Location 1

Location 12620 N Westwood BlvdPoplar Bluff, MO 63901-3396 · Phone (573) 727-2640

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gloria Michelle Paul Edacheril Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153594221

PECOS Enrollment IDI20111105000101

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

147 services54 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

60 services41 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

28 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63368 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 12

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

SAMANTHA DAWN WARDEN MD

Family Medicine