SARA GINA MAXIMUS PMHNP
NPI 1265233720
Nurse Practitioner - Psychiatric/Mental Health in Saint Louis, MO

Active since March 21, 2025PECOS EnrolledAccepts Medicare Assignment
621 S NEW BALLAS RD STE 2009B, SAINT LOUIS, MO 63141(314) 251-1260(314) 251-1261 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 13, 2025, Mar 21, 2025 (2 updates tracked since 2025).

About Sara Gina Maximus Pmhnp NPPES

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

SARA GINA MAXIMUS PMHNP (NPI 1265233720) is an individual psychiatric/mental health provider in Saint Louis, Missouri, licensed in Missouri (2025008397) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265233720
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSARA GINA MAXIMUSCredential: PMHNP
Location Address621 S NEW BALLAS RD STE 2009BSaint Louis, MO 63141-8265
Mailing Address304 Blue Ridge Place CtBallwin, MO 63011-2435 · (636) 675-0815
Fax(314) 251-1261
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 21, 2025
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
✔ NPI 1265233720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2025008397
621 S NEW BALLAS RD STE 2009B, Saint Louis, MO 63141

Other Names 1

Former Name (1)Sara Mathew Manoj

Secondary Practice Location 1

Location 1621 S New Ballas Rd Ste 3015Saint Louis, MO 63141-8232 · Phone (314) 251-2900 · Fax (314) 251-2901

Accepted 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

Sara Gina Maximus Pmhnp 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 ID446776645
PECOS Enrollment IDI20250430003276
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

2

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

Mental Health
1612 S BIG BEND BLVD
Saint Louis, MO 63117
  • Reassigned Medicare billing, Missouri enrollment
  • 9 clinicians in this Medicare group
Psychiatry
1400 US HIGHWAY 61, SUITE H1341
Festus, MO 63028
  • Reassigned Medicare billing, Missouri enrollment
  • 32 clinicians in this Medicare group

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 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
$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 20

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

Obstetrics & Gynecology
621 S NEW BALLAS RD STE 2009B
SAINT LOUIS, MO 63141
Obstetrics & Gynecology
621 S NEW BALLAS RD STE 2009B
SAINT LOUIS, MO 63141
Nurse Practitioner (Obstetrics & Gynecology)
621 S NEW BALLAS RD STE 2009B
SAINT LOUIS, MO 63141
Obstetrics & Gynecology (Gynecology)
621 S NEW BALLAS RD STE 2009B
SAINT LOUIS, MO 63141
Obstetrics & Gynecology
621 S NEW BALLAS RD STE 2009B
SAINT LOUIS, MO 63141
Obstetrics & Gynecology
621 S NEW BALLAS RD STE 2009B
SAINT LOUIS, MO 63141
Obstetrics & Gynecology
621 S NEW BALLAS RD STE 2009B
SAINT LOUIS, MO 63141
Obstetrics & Gynecology
621 S NEW BALLAS RD STE 2009B
SAINT LOUIS, MO 63141

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 Sara Maximus's NPI number?

The NPI number for Sara Maximus is 1265233720. It was assigned to this individual provider in the NPPES registry on March 21, 2025. The provider is also known as Sara Mathew Manoj.

Where is Sara Maximus located?

Sara Maximus practices at 621 S New Ballas Rd Ste 2009B, Saint Louis, MO 63141. The listed phone number is (314) 251-1260.

What is Sara Maximus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sara Maximus enrolled in Medicare?

Yes. Sara Maximus 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 organizations bill Medicare for Sara Maximus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Maximus reassigns Medicare benefits to 2 organizations: Avenues Counseling Center (Saint Louis, MO) and Mercy Clinic Adult Psychiatry, LLC (Festus, 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 Sara Maximus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Maximus accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Sara Maximus 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 Sara Maximus was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.