HIWOT WOLDGEORGIS
NPI 1265856215
Nurse Practitioner in Bridgeton, MO
About Hiwot Woldgeorgis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HIWOT WOLDGEORGIS (NPI 1265856215) is an individual nurse practitioner in Bridgeton, Missouri, licensed in Missouri (2013005895) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bridgeton, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Hiwot Woldgeorgis 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.
Medicare Billing Reassignments
2Medicare enrollment records show Hiwot Woldgeorgis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bridgeton, MO 63044
- Reassigned Medicare billing, Missouri enrollment
- 3 clinicians in this Medicare group
Fenton, MO 63026
- Reassigned Medicare billing, Missouri enrollment
- 697 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Hiwot Woldgeorgis's NPI number?
The NPI number for Hiwot Woldgeorgis is 1265856215. It was assigned to this individual provider in the NPPES registry on February 11, 2014.
Where is Hiwot Woldgeorgis located?
Hiwot Woldgeorgis practices at 3165 Mckelvey Rd Ste 100, Bridgeton, MO 63044. The listed phone number is (314) 739-1333.
What is Hiwot Woldgeorgis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Hiwot Woldgeorgis enrolled in Medicare?
Yes. Hiwot Woldgeorgis 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 Hiwot Woldgeorgis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hiwot Woldgeorgis reassigns Medicare benefits to 2 organizations: West Florissant Internists, Inc (Bridgeton, MO) and Ssm Medical Group, Inc. (Fenton, 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 Hiwot Woldgeorgis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hiwot Woldgeorgis 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 2 other insurers list Hiwot Woldgeorgis 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 Hiwot Woldgeorgis was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Hiwot Woldgeorgis · NPI 1265856215
Nurse Practitioner physician in Bridgeton, Missouri. Individual provider, active in the CMS NPPES registry since February 11, 2014.
## Identity
- **NPI:** 1265856215 (Entity type: Individual)
- **Enumerated:** February 11, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 2013005895 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3165 MCKELVEY RD STE 100, Bridgeton, MO 63044-2550
- **Phone:** (314) 739-1333
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): West Florissant Internists, Inc (NPI 1497774673, Bridgeton, MO); Ssm Medical Group, Inc. (NPI 1700966207, Fenton, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** January 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265856215) · Data from the CMS NPPES public registry.