CAROLE ETTINGER APRN-FNP
NPI 1154874691
Nurse Practitioner - Family in Creve Coeur, MO

Active since August 02, 2016PECOS EnrolledAccepts Medicare Assignment
89.23/100
CMS Quality Rating
11550 OLIVE BLVD, CREVE COEUR, MO 63141(314) 542-7690 Get Directions Write a Review

NPPES record last updated: August 2, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carole Ettinger Aprn-fnp NPPES

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

CAROLE ETTINGER APRN-FNP (NPI 1154874691) is an individual family provider in Creve Coeur, Missouri, licensed in Missouri (2016010733) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1154874691
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLE ETTINGERCredential: APRN-FNP
Location Address11550 OLIVE BLVDCreve Coeur, MO 63141-7111
Mailing Address232 S Woods Mill RdChesterfield, MO 63017-3406 · (314) 434-1500
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 2, 2016
✔ NPI 1154874691 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 MO · 2016010733
11550 OLIVE BLVD, Creve Coeur, MO 63141

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carole Ettinger Aprn-fnp 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 ID6709161094
PECOS Enrollment IDI20170329001435
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carole Ettinger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
232 S WOODS MILL RD
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Emergency Physicians Of St Lukes LLC
  • 124 clinicians in this Medicare group
Family Medicine
232 S WOODS MILL RD
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 16 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
112 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.14
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Family Medicine
11550 OLIVE BLVD, STE 120
CREVE COEUR, MO 63141
Hospitalist
11550 OLIVE BLVD, STE 140
CREVE COEUR, MO 63141
Family Medicine
11550 OLIVE BLVD
CREVE COEUR, MO 63141
Internal Medicine
11550 OLIVE BLVD, STE 140
CREVE COEUR, MO 63141
Internal Medicine
11550 OLIVE BLVD, STE 140
CREVE COEUR, MO 63141

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 Carole Ettinger's NPI number?

The NPI number for Carole Ettinger is 1154874691. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Carole Ettinger located?

Carole Ettinger practices at 11550 Olive Blvd, Creve Coeur, MO 63141. The listed phone number is (314) 542-7690.

What is Carole Ettinger's specialty?

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

Is Carole Ettinger enrolled in Medicare?

Yes. Carole Ettinger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Carole Ettinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carole Ettinger reassigns Medicare benefits to 2 organizations: Emergency Physicians Of St. Luke's, LLC (Chesterfield, MO) and St. Lukes Medical Group (Chesterfield, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carole Ettinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carole Ettinger accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Carole Ettinger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carole Ettinger was last updated on August 2, 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.