MRS. MARY JANE BROGE PNP
NPI 1295066769
Nurse Practitioner - Pediatrics in Saint Louis, MO

Q: What is Mary Broge's NPI number?

The NPI number for Mary Broge is 1295066769. It was assigned to this individual provider in the NPPES registry on January 23, 2010.

Q: What is Mary Broge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Broge was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 January 23, 2010PECOS Enrolled

1 CHILDRENS PL, DIV PED CARDIOLOGY, SAINT LOUIS, MO 63110(314) 454-6095(314) 884-6008 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Mrs. Mary Jane Broge Pnp NPPES

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

MRS. MARY JANE BROGE PNP (NPI 1295066769) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2004033032) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295066769

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. MARY JANE BROGECredential: PNP

Location Address1 CHILDRENS PL, DIV PED CARDIOLOGYSaint Louis, MO 63110-1002

Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-6095 · Fax (314) 884-6008

Phone(314) 454-6095

Fax(314) 884-6008

Sole ProprietorNo

Enumeration DateJanuary 23, 2010

Last NPPES UpdateFebruary 9, 20264 updates tracked since enumeration

✔ NPI 1295066769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MO · 2004033032

1 CHILDRENS PL, Saint Louis, MO 63110

Open in Google Maps ↗

Other Identifiers 1

Medicaid420048590MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Jane Broge Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mary Broge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Washington University

0.1 mi

Multi-Specialty

1 CHILDRENS PL
Saint Louis, MO 63110

Reassigned Medicare billing, Missouri enrollment
628 clinicians in this Medicare group

NPI 1194765685 (314) 286-1264

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 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.

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.

ARIE BAKER MSW, LCSW

Social Worker (Clinical)

1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110

St. Louis City (314) 747-6169

SUSAN CHEUNG WALSH AUD

Audiologist-Hearing Aid Fitter

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-4649

MS. JENNIFER MARIE JACOBI PNP

Nurse Practitioner (Pediatrics)

1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110

St. Louis City (314) 362-3577

MS. EMILY LINCOLN RN, NNP-BC

Nurse Practitioner (Neonatal, Critical Care)

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6000

MS. MARISSA ROSE PEREZ-MAGNELLI PNP

Nurse Practitioner (Pediatrics)

1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6120

MRS. BRIANNA LYNN RICHTER NNP-BC

Nurse Practitioner (Neonatal)

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6000

DR. WILLIAM L RIVES MD

Hospitalist

1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2076

DR. PETER M KILBRIDGE MD

Pediatrics

1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2479

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 Mary Broge's NPI number?

The NPI number for Mary Broge is 1295066769. It was assigned to this individual provider in the NPPES registry on January 23, 2010.

Where is Mary Broge located?

Mary Broge practices at 1 Childrens Pl Div Ped Cardiology, Saint Louis, MO 63110. The listed phone number is (314) 454-6095.

What is Mary Broge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Mary Broge enrolled in Medicare?

Yes. Mary Broge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Broge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Broge reassigns Medicare benefits to Washington University (Saint Louis, MO). The 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 Mary Broge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Broge was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.