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MRS. TABITHA MARIE BAUDENDISTEL BSN, RN, MSN, FNP-C
NPI 1174381701
Nurse Practitioner - Family in Saint Peters, MO

Active since March 08, 2024PECOS EnrolledAccepts Medicare Assignment
154 SAINT PETERS CENTRE BLVD, SAINT PETERS, MO 63376(636) 552-9647(636) 206-8548 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2026, Jan 28, 2026, Mar 8, 2024 (3 updates tracked since 2024).

About Mrs. Tabitha Marie Baudendistel Bsn, Rn, Msn, Fnp-c NPPES

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

MRS. TABITHA MARIE BAUDENDISTEL BSN, RN, MSN, FNP-C (NPI 1174381701) is an individual family provider in Saint Peters, Missouri, licensed in Missouri (2024009298) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1174381701
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TABITHA MARIE BAUDENDISTELCredential: BSN, RN, MSN, FNP-C
Location Address154 SAINT PETERS CENTRE BLVDSaint Peters, MO 63376-1695
Mailing Address7409 Leona StSaint Louis, MO 63116-2733
Phone(636) 552-9647
Fax(636) 206-8548
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 8, 2024
Last NPPES UpdateMarch 24, 20263 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1174381701 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 · 2024009298
154 SAINT PETERS CENTRE BLVD, Saint Peters, MO 63376
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Tabitha Marie Braun Bsn, Rn, Msn, Fnp-c

Secondary Practice Location 1

Location 111605 Studt Ave Ste 120Saint Louis, MO 63141-7052 · Phone (314) 279-6069

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Mrs. Tabitha Marie Baudendistel Bsn, Rn, Msn, 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 ID6305283490
PECOS Enrollment IDI20240325003394
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 Tabitha Baudendistel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Physicians Of St. Luke's, LLC
11 mi
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
NPI 1215359815 (314) 205-6926
Family Medicine - Slmg South, LLC
32 mi
Family Medicine
1501 PROFESSIONAL DR
Imperial, MO 63052
  • Reassigned Medicare billing, Missouri enrollment
  • 26 clinicians in this Medicare group
NPI 1164077822 (636) 464-4000

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 2

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.
84 services81 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63376 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

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

KIMBERLY ANN LORENZ MSOT, OTR/L, NTMTC
Occupational Therapist (Pediatrics)
154 SAINT PETERS CENTRE BLVD
SAINT PETERS, MO 63376
St. Charles County (636) 748-4060

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 Tabitha Baudendistel's NPI number?

The NPI number for Tabitha Baudendistel is 1174381701. It was assigned to this individual provider in the NPPES registry on March 8, 2024. The provider is also known as Ms. Tabitha Marie Braun Bsn, Rn, Msn, Fnp-C.

Where is Tabitha Baudendistel located?

Tabitha Baudendistel practices at 154 Saint Peters Centre Blvd, Saint Peters, MO 63376. The listed phone number is (636) 552-9647.

What is Tabitha Baudendistel's specialty?

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

Is Tabitha Baudendistel enrolled in Medicare?

Yes. Tabitha Baudendistel 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 Tabitha Baudendistel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabitha Baudendistel reassigns Medicare benefits to 2 organizations: Emergency Physicians Of St. Luke's, LLC (Chesterfield, MO) and Family Medicine - Slmg South, LLC (Imperial, 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 Tabitha Baudendistel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tabitha Baudendistel accept?

Health plans from Oscar Insurance Company list Tabitha Baudendistel 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 Tabitha Baudendistel affiliated with any hospitals?

According to CMS data, Tabitha Baudendistel is affiliated with Northwestern Medicine Central Dupage Hospital and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Tabitha Baudendistel was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.