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: July 19, 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 St Lukes 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
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

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

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

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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

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

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.

Occupational Therapist (Pediatrics)
154 SAINT PETERS CENTRE BLVD
SAINT PETERS, MO 63376

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174381701, enumerated as an "individual" on March 08, 2024.

The provider is located at 154 SAINT PETERS CENTRE BLVD SAINT PETERS, MO 63376 and the phone number is (636) 552-9647.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.

Tabitha Baudendistel is affiliated with: ST LUKES HOSPITAL.