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

Q: 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.

Q: 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.

Q: 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 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.

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: August 09, 2026.

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

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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

Phone(314) 251-1260

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, UnitedHealthcare.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

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.

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.

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