MS. MARCELLA M PETZCHEN NP
NPI 1255393716
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
88.92/100
CMS Quality Rating
3660 VISTA AVE, SUITE 207, SAINT LOUIS, MO 63110(314) 977-6100(314) 977-6137 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Marcella M Petzchen Np NPPES

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

MS. MARCELLA M PETZCHEN NP (NPI 1255393716) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (051062) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and is a graduate of Other (1968).

NPPES Registry Identity

NPI1255393716
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. MARCELLA M PETZCHENCredential: NP
Location Address3660 VISTA AVE, SUITE 207Saint Louis, MO 63110-2540
Mailing Address3691 Rutger Ave, Provider EnrollmentSt Louis, MO 63110 · (314) 977-4440
Fax(314) 977-6137
Sole ProprietorNo
Medical School CMSOtherGraduated 1968
Enumeration DateApril 3, 2006
Last NPPES UpdateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
NPI 1255393716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MO · 051062
Also ListedRegistered NurseTaxonomy 163W00000X · License 051062 (MO)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 051062 (MO)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 051062 (MO)
3660 VISTA AVE, Saint Louis, MO 63110

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

Ms. Marcella M Petzchen Np 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 ID5890830533
PECOS Enrollment IDI20100304000923
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 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.
52 services45 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.
36 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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.

88.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.72
Promoting Interoperability100
Improvement Activities40
Cost45.01

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers11 claims19 services$6.27 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers12 claims15 services$12.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
3660 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine (Nephrology)
3660 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine (Geriatric Medicine)
3660 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine
3660 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine (Nephrology)
3660 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine
3660 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine
3660 VISTA AVE
SAINT LOUIS, MO 63110
Pharmacy (Community/Retail Pharmacy)
3660 VISTA AVE
SAINT LOUIS, MO 63110

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 Marcella Petzchen's NPI number?

The NPI number for Marcella Petzchen is 1255393716. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Marcella Petzchen located?

Marcella Petzchen practices at 3660 Vista Ave Suite 207, Saint Louis, MO 63110. The listed phone number is (314) 977-6100.

What is Marcella Petzchen's specialty?

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

Is Marcella Petzchen enrolled in Medicare?

Yes. Marcella Petzchen 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.

What insurance does Marcella Petzchen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Marcella Petzchen 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.

Is Marcella Petzchen affiliated with any hospitals?

According to CMS data, Marcella Petzchen is affiliated with Ssm Health St Mary's Hospital - St Louis and Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Marcella Petzchen was last updated on August 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.