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CHRISTINA MAYBERRY FNP-BC NP-C
NPI 1245123330
Nurse Practitioner - Family in Saint Louis, MO

Active since May 29, 2025PECOS EnrolledAccepts Medicare Assignment
4625 LINDELL BLVD, SAINT LOUIS, MO 63108(573) 854-0410(573) 552-4536 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christina Mayberry Fnp-bc Np-c NPPES

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

CHRISTINA MAYBERRY FNP-BC NP-C (NPI 1245123330) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2025014200) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1245123330
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHRISTINA MAYBERRYCredential: FNP-BC NP-C
Location Address4625 LINDELL BLVDSaint Louis, MO 63108-3725
Mailing Address512 Sunward DrO Fallon, MO 63368-6939 · (314) 825-6100
Phone(573) 854-0410
Fax(573) 552-4536
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 29, 2025
NPPES CertifiedMay 29, 2025
✔ NPI 1245123330 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 · 2025014200
4625 LINDELL BLVD, Saint Louis, MO 63108
Open in Google Maps ↗

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

Christina Mayberry Fnp-bc Np-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 ID5597272740
PECOS Enrollment IDI20250730004273
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 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.

Other Providers at the Same Location NPPES 17

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

MALONE'S HEAVENLY ANGELS HOME HEALTH LLC
In Home Supportive Care
4625 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 396-7924
JUDITH ANN HOFFMAN MSW LCSW
Social Worker (Clinical)
4625 LINDELL BLVD, SUITE 315
ST LOUIS, MO 63108
St. Louis City (314) 361-4227
MS. TRACEY MOORE LCSW
Social Worker (Clinical)
4625 LINDELL BLVD, STE 200&300
SAINT LOUIS, MO 63108
St. Louis City (636) 374-9113
HEARTS 2 HOMES LLC
In Home Supportive Care
4625 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 449-6700
KOMFORT KARE HOME CARE SERVICES LLC
Home Health
4625 LINDELL BLVD
SAINT LOUIS, MO 63108
St. Louis City (314) 743-9058
MS. CYNTHIA LYNN BUETER P.T.
Physical Therapist
4625 LINDELL BLVD, SUITE 510
SAINT LOUIS, MO 63108
St. Louis City (314) 367-7450
PROFESSIONAL INTERNAL MEDICINE LLC
Internal Medicine
4625 LINDELL BLVD, SUITE 507
SAINT LOUIS, MO 63108
St. Louis City (314) 367-4800
ROGER COLE MD, LLC
Clinic/Center (Primary Care)
4625 LINDELL BLVD, SUITE 507
SAINT LOUIS, MO 63108
St. Louis City (314) 367-4800

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 Christina Mayberry's NPI number?

The NPI number for Christina Mayberry is 1245123330. It was assigned to this individual provider in the NPPES registry on May 29, 2025.

Where is Christina Mayberry located?

Christina Mayberry practices at 4625 Lindell Blvd, Saint Louis, MO 63108. The listed phone number is (573) 854-0410.

What is Christina Mayberry's specialty?

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

Is Christina Mayberry enrolled in Medicare?

Yes. Christina Mayberry 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.

When was this NPI record last updated?

The NPPES record for Christina Mayberry was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.