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MS. LISA A KOESTER-WIEDEMANN ANP
NPI 1184642662
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
4205 FOREST PARK AVE, DIV IM NEPHROLOGY, SAINT LOUIS, MO 63108(314) 286-0800(314) 286-0855 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 3 more (6 updates tracked since 2015).

About Ms. Lisa A Koester-wiedemann Anp NPPES

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

MS. LISA A KOESTER-WIEDEMANN ANP (NPI 1184642662) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (134512) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1184642662
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. LISA A KOESTER-WIEDEMANNCredential: ANP
Location Address4205 FOREST PARK AVE, DIV IM NEPHROLOGYSaint Louis, MO 63108-2810
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 286-0800 · Fax (314) 286-0855
Phone(314) 286-0800
Fax(314) 286-0855
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 17, 2006
Last NPPES UpdateApril 17, 20256 updates tracked since enumeration
✔ NPI 1184642662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 134512
4205 FOREST PARK AVE, Saint Louis, MO 63108
Open in Google Maps ↗

Other Identifiers 1

Medicaid425146008MO

Accepted Insurance

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

Ms. Lisa A Koester-wiedemann Anp 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 ID840225231
PECOS Enrollment IDI20051005000079
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 Reassignment

Medicare enrollment records show Lisa Koester-wiedemann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Washington University
0.7 mi
Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1841221116 (Missouri)
  • 1,133 clinicians in this Medicare group
NPI 1992746903 (314) 747-5192

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 3

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.

Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
102 services33 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.
49 services40 patients
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour G0420
This service involves one-on-one educational sessions about managing chronic kidney disease. Each session lasts about an hour. Topics can include understanding the disease, dietary changes, medication management, and lifestyle modifications to help control the condition.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 5

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

MS. ANDREA R SIMS GNP
Nurse Practitioner
4205 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 286-0800
MRS. DARLENE NICHOLS RD
Dietitian, Registered
4205 FOREST PARK AVE, DIV IM NEPHROLOGY
SAINT LOUIS, MO 63108
St. Louis City (314) 286-0800
MS. NATALIE J CARLSON RD
Dietitian, Registered
4205 FOREST PARK AVE, DIV IM NEPHROLOGY
SAINT LOUIS, MO 63108
St. Louis City (314) 286-0800
DVA WASHINGTON UNIVERSITY HEALTHCARE OF GREATER ST LOUIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4205 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 236-2385
WASHINGTON UNIVERSITY
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4205 FOREST PARK AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 286-0842

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 Lisa Koester-wiedemann's NPI number?

The NPI number for Lisa Koester-wiedemann is 1184642662. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Lisa Koester-wiedemann located?

Lisa Koester-wiedemann practices at 4205 Forest Park Ave Div Im Nephrology, Saint Louis, MO 63108. The listed phone number is (314) 286-0800.

What is Lisa Koester-wiedemann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lisa Koester-wiedemann enrolled in Medicare?

Yes. Lisa Koester-wiedemann 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 organization bills Medicare for Lisa Koester-wiedemann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Koester-wiedemann reassigns Medicare benefits to Washington University (Saint Louis, MO). 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 Lisa Koester-wiedemann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Koester-wiedemann accept?

Health plans from UnitedHealthcare list Lisa Koester-wiedemann 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 Lisa Koester-wiedemann was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.