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DR. NICKOLAI C DETERT DNP, FNP-C
NPI 1154987097
Nurse Practitioner in Saint Louis, MO

Active since May 16, 2019PECOS EnrolledAccepts Medicare Assignment
4921 PARKVIEW PL STE 14A, SAINT LOUIS, MO 63110(314) 454-8778 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2022, Jun 12, 2019, Jun 3, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Nickolai C Detert Dnp, Fnp-c NPPES

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

DR. NICKOLAI C DETERT DNP, FNP-C (NPI 1154987097) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2019019665) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154987097
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDR. NICKOLAI C DETERTCredential: DNP, FNP-C
Location Address4921 PARKVIEW PL STE 14ASaint Louis, MO 63110-1032
Mailing Address4921 Parkview Pl Ste 14aSaint Louis, MO 63110-1032 · (314) 454-8778
Phone(314) 454-8778
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 16, 2019
Last NPPES UpdateSeptember 16, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
✔ NPI 1154987097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2019019665
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2019019665 (MO)
4921 PARKVIEW PL STE 14A, Saint Louis, MO 63110
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Secondary Practice Location 1

Location 112680 Olive Blvd Ste 300Saint Louis, MO 63141-6322 · Phone (314) 251-0451

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Nickolai C Detert Dnp, Fnp-c 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 ID5597093559
PECOS Enrollment IDI20190829000120
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 5

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 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.
108 services98 patients
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.
108 services91 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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 2

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

LEIGH ROSE BALL MD
Internal Medicine
4921 PARKVIEW PL STE 14A
SAINT LOUIS, MO 63110
St. Louis City (314) 454-8778
JOHN L HOFFMAN MD
Internal Medicine
4921 PARKVIEW PL STE 14A
SAINT LOUIS, MO 63110
St. Louis City (314) 454-8778

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 Nickolai Detert's NPI number?

The NPI number for Nickolai Detert is 1154987097. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Where is Nickolai Detert located?

Nickolai Detert practices at 4921 Parkview Pl Ste 14A, Saint Louis, MO 63110. The listed phone number is (314) 454-8778.

What is Nickolai Detert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nickolai Detert enrolled in Medicare?

Yes. Nickolai Detert 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 Nickolai Detert accept?

Health plans from Anthem Blue Cross and Blue Shield list Nickolai Detert 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 Nickolai Detert was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.