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HIENOK HAILU
NPI 1144775966
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since August 22, 2016PECOS Enrolled
11725 CASA GRANDE DR, SAINT LOUIS, MO 63146(314) 255-8395 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 29, 2016, Aug 23, 2016 (2 updates tracked since 2016).

About Hienok Hailu NPPES

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

HIENOK HAILU (NPI 1144775966) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (2016015067) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144775966
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameHIENOK HAILU
Location Address11725 CASA GRANDE DRSaint Louis, MO 63146-4223
Mailing Address11725 Casa Grande DrSaint Louis, MO 63146-4223 · (314) 255-8395
Phone(314) 255-8395
Sole ProprietorYes
Enumeration DateAugust 22, 2016
Last NPPES UpdateAugust 29, 20162 updates tracked since enumeration
✔ NPI 1144775966 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 · 2016015067
11725 CASA GRANDE DR, Saint Louis, MO 63146
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hienok Hailu 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 63146 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.

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 Hienok Hailu's NPI number?

The NPI number for Hienok Hailu is 1144775966. It was assigned to this individual provider in the NPPES registry on August 22, 2016.

Where is Hienok Hailu located?

Hienok Hailu practices at 11725 Casa Grande Dr, Saint Louis, MO 63146. The listed phone number is (314) 255-8395.

What is Hienok Hailu's specialty?

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

Is Hienok Hailu enrolled in Medicare?

Yes. Hienok Hailu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hienok Hailu was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.