DR. AMANDA GROEBL JUDILLA M.D.
NPI 1225324569
Pediatrics in Eureka, MO

Q: What is Amanda Judilla's NPI number?

The NPI number for Amanda Judilla is 1225324569. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Q: What is Amanda Judilla's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Judilla was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 24, 2011PECOS Enrolled

515 N VIRGINIA AVE, EUREKA, MO 63025(636) 587-3000 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Amanda Groebl Judilla M.d. NPPES

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

DR. AMANDA GROEBL JUDILLA M.D. (NPI 1225324569) is an individual pediatrics provider in Eureka, Missouri, licensed in Missouri (2014015412) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rolla.

NPPES Registry Identity

NPI1225324569

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. AMANDA GROEBL JUDILLACredential: M.D.

Location Address515 N VIRGINIA AVEEureka, MO 63025-1115

Mailing Address515 N Virginia AveEureka, MO 63025-1115 · (636) 587-3000

Phone(636) 587-3000

Sole ProprietorNo

Enumeration DateJune 24, 2011

Last NPPES UpdateApril 10, 2023

NPPES CertifiedApril 10, 2023

✔ NPI 1225324569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · 2014015412

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

515 N VIRGINIA AVE, Eureka, MO 63025

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Secondary Practice Location 1

Location 11000 W 10th StRolla, MO 65401-2905 · Phone (573) 458-8899

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Groebl Judilla M.d. 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.

Medicare Billing Reassignments

Medicare enrollment records show Amanda Judilla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care St Louis

8.4 mi

Emergency Medicine

1015 BOWLES AVENUE
Fenton, MO 63026

Reassigned Medicare billing, Missouri enrollment
741 clinicians in this Medicare group

NPI 1275586174 (636) 496-2502

Ssm Cardinal Glennon Childrens Hospital

11 mi

Pediatrics

2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139

Reassigned Medicare billing, Missouri enrollment
Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
414 clinicians in this Medicare group

NPI 1073568226 (314) 268-4070

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63025 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 3

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

EUREKA PEDIATRICS

Pediatrics

515 N VIRGINIA AVE
EUREKA, MO 63025

St. Louis County (636) 587-3000

DOUG S NOZAKI MD

Pediatrics

515 N VIRGINIA AVE
EUREKA, MO 63025

St. Louis County (636) 587-3000

TED ALLEN GREEN M.D.

Pediatrics

515 N VIRGINIA AVE
EUREKA, MO 63025

St. Louis County (636) 587-3000

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 Amanda Judilla's NPI number?

The NPI number for Amanda Judilla is 1225324569. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Where is Amanda Judilla located?

Amanda Judilla practices at 515 N Virginia Ave, Eureka, MO 63025. The listed phone number is (636) 587-3000.

What is Amanda Judilla's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amanda Judilla enrolled in Medicare?

Yes. Amanda Judilla is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amanda Judilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Judilla reassigns Medicare benefits to 2 organizations: Ssm Health Care St Louis (Fenton, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, 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 Amanda Judilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Judilla accept?

Health plans from Anthem Blue Cross and Blue Shield list Amanda Judilla 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 Amanda Judilla was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.