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CAROL BIVINS AG-NP
NPI 1154935880
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since September 01, 2020PECOS EnrolledAccepts Medicare Assignment
1001 S KIRKWOOD RD STE 180, SAINT LOUIS, MO 63122(314) 543-5980(314) 543-5985 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2026, Sep 1, 2020 (2 updates tracked since 2020).

About Carol Bivins Ag-np NPPES

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

CAROL BIVINS AG-NP (NPI 1154935880) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (2020028547) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and maintains a secondary practice location in Crystal Cty.

NPPES Registry Identity

NPI1154935880
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCAROL BIVINSCredential: AG-NP
Location Address1001 S KIRKWOOD RD STE 180Saint Louis, MO 63122-7254
Mailing Address1001 S Kirkwood Rd Ste 180Saint Louis, MO 63122-7254 · (314) 543-5980 · Fax (314) 543-5985
Phone(314) 543-5980
Fax(314) 543-5985
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 1, 2020
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1154935880 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 · 2020028547
1001 S KIRKWOOD RD STE 180, Saint Louis, MO 63122
Open in Google Maps ↗

Secondary Practice Location 1

Location 11390 US Highway 61 Ste N3300Crystal Cty, MO 63028-4175 · Phone (636) 937-8675

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

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

Carol Bivins Ag-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 ID2264851302
PECOS Enrollment IDI20200923001841
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

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 moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
111 services88 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63122 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 Carol Bivins's NPI number?

The NPI number for Carol Bivins is 1154935880. It was assigned to this individual provider in the NPPES registry on September 1, 2020.

Where is Carol Bivins located?

Carol Bivins practices at 1001 S Kirkwood Rd Ste 180, Saint Louis, MO 63122. The listed phone number is (314) 543-5980.

What is Carol Bivins's specialty?

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

Is Carol Bivins enrolled in Medicare?

Yes. Carol Bivins 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.

What insurance does Carol Bivins accept?

Health plans from Medica and UnitedHealthcare list Carol Bivins 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.

Is Carol Bivins affiliated with any hospitals?

According to CMS data, Carol Bivins is affiliated with Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Carol Bivins was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.