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ANDREA PURICELLI RD, LDN, CLC
NPI 1164906079
Dietitian, Registered in Saint Louis, MO

Active since September 18, 2018
6121 N HANLEY RD, SAINT LOUIS, MO 63134(314) 615-0553(314) 615-0880 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrea Puricelli Rd, Ldn, Clc NPPES

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

ANDREA PURICELLI RD, LDN, CLC (NPI 1164906079) is an individual dietitian, registered in Saint Louis, Missouri and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1164906079
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameANDREA PURICELLICredential: RD, LDN, CLC
Location Address6121 N HANLEY RDSaint Louis, MO 63134-2003
Mailing Address9848 Allendale DrSaint Louis, MO 63123-6443
Phone(314) 615-0553
Fax(314) 615-0880
Sole ProprietorNo
Enumeration DateSeptember 18, 2018
✔ NPI 1164906079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
6121 N HANLEY RD, Saint Louis, MO 63134
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Puricelli Rd, Ldn, Clc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Andrea Puricelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nourish, Inc.
719 mi
Dietitian, Registered
3724 JEFFERSON ST STE 104
Austin, TX 78731
  • Reassigned Medicare billing, Texas enrollment
  • 487 clinicians in this Medicare group
NPI 1558097824 (512) 693-7045

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

Other Providers at the Same Location NPPES 20

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

MRS. MARY G FITZGERALD ANP
Nurse Practitioner (Pediatrics)
6121 N HANLEY RD
BERKELEY, MO 63134
St. Louis County (314) 615-0600
SHEILA D PEARSON
Health Educator
6121 N HANLEY RD
BERKELEY, MO 63134
St. Louis County (314) 615-6871
NITA F JOHNSON DDS
Dentist (General Practice)
6121 N HANLEY RD
BERKELEY, MO 63134
St. Louis County (314) 615-0531
CHRISTOPHER ELLIOTT LCSW
Social Worker (Clinical)
6121 N HANLEY RD
SAINT LOUIS, MO 63134
St. Louis County (314) 615-0581
PATRICIA RUZICKA RD, LD
Dietitian, Registered
6121 N HANLEY RD
BERKELEY, MO 63134
St. Louis County (314) 615-0557
COUNTY OF ST LOUIS DIVISION OF FISCAL MANAGEMENT
Clinic/Center (Federally Qualified Health Center (FQHC))
6121 N HANLEY RD
BERKELEY, MO 63134
St. Louis County (314) 615-0500
MS. OPHELIA ANDERSON
Prevention Professional
6121 N HANLEY RD
BERKELEY, MO 63134
St. Louis County (314) 615-6452
TAMMI HOLMES
Health Educator
6121 N HANLEY RD
SAINT LOUIS, MO 63134
St. Louis County (314) 615-1643

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 Andrea Puricelli's NPI number?

The NPI number for Andrea Puricelli is 1164906079. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Andrea Puricelli located?

Andrea Puricelli practices at 6121 N Hanley Rd, Saint Louis, MO 63134. The listed phone number is (314) 615-0553.

What is Andrea Puricelli's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Andrea Puricelli enrolled in Medicare?

Yes. Andrea Puricelli is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Puricelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Puricelli reassigns Medicare benefits to Nourish, Inc. (Austin, TX). The 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 Andrea Puricelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Puricelli accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Andrea Puricelli 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 Andrea Puricelli was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.