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MISRAK GEBISSA
NPI 1184175085
Clinical Nurse Specialist - Gerontology in Creve Coeur, MO

Active since October 17, 2016PECOS Enrolled
9 SACKSTON WOODS LN, CREVE COEUR, MO 63141(877) 748-7030 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Misrak Gebissa NPPES

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

MISRAK GEBISSA (NPI 1184175085) is an individual gerontology provider in Creve Coeur, Missouri, licensed in Missouri (AG0416096) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184175085
Entity TypeIndividualFemale
Primary Taxonomy364SG0600X
Provider Legal NameMISRAK GEBISSA
Location Address9 SACKSTON WOODS LNCreve Coeur, MO 63141-8228
Mailing Address10315 Tuxford Dr Apt 10Saint Louis, MO 63146-5825 · (314) 749-3615
Phone(877) 748-7030
Sole ProprietorNo
Enumeration DateOctober 17, 2016
✔ NPI 1184175085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SG0600X
License✔ Licensed in MO · AG0416096
9 SACKSTON WOODS LN, Creve Coeur, MO 63141
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misrak Gebissa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
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.

MID-TOWN MEDICAL PRACTICE, LLC
Internal Medicine
9 SACKSTON WOODS LN
CREVE COEUR, MO 63141
St. Louis County (314) 651-6132

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 Misrak Gebissa's NPI number?

The NPI number for Misrak Gebissa is 1184175085. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Misrak Gebissa located?

Misrak Gebissa practices at 9 Sackston Woods Ln, Creve Coeur, MO 63141. The listed phone number is (877) 748-7030.

What is Misrak Gebissa's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

Is Misrak Gebissa enrolled in Medicare?

Yes. Misrak Gebissa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Misrak Gebissa was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.