IPS OF ST LOUIS LLC
NPI 1316182173
Nurse Anesthetist, Certified Registered in Saint Louis, MO

Q: What is Ips Of St Louis LLC's NPI number?

The NPI number for Ips Of St Louis LLC is 1316182173. It was assigned to this organization in the NPPES registry on December 9, 2008.

Q: What is Ips Of St Louis LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since December 09, 2008

8637 DELMAR BLVD, SAINT LOUIS, MO 63124(314) 983-0303 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Ips Of St Louis Llc NPPES

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

IPS OF ST LOUIS LLC (NPI 1316182173) is a healthcare organization registered as a nurse anesthetist, certified registered in Saint Louis, Missouri and active in the NPI registry since December 2008. The organization lists Carl R Noback, Member, as its authorized official.

NPPES Registry Identity

NPI1316182173

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameIPS OF ST LOUIS LLC

Location Address8637 DELMAR BLVDSaint Louis, MO 63124-1906

Mailing AddressPo Box 864747Orlando, FL 32886-4747 · (888) 337-3509 · Fax (941) 328-3997

Phone(314) 983-0303

Organization SubpartNo

Authorized OfficialCarl R NobackMember · (941) 360-1566

Enumeration DateDecember 9, 2008

Last NPPES UpdateOctober 6, 2020

NPPES CertifiedOctober 6, 2020

✔ NPI 1316182173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

8637 DELMAR BLVD, Saint Louis, MO 63124

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ips Of St Louis Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ips Of St Louis LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Annie Mcnulty Jennings, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1518913938

10535 LANDSEER DR
Saint Louis, MO 63136

(314) 458-7799

✔ Accepts Medicare9.0 mi

Desiree Wickenhauser, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1912453945

11133 DUNN RD
Saint Louis, MO 63136

(314) 203-3041

✔ PECOS✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ips Of St Louis LLC's NPI number?

The NPI number for Ips Of St Louis LLC is 1316182173. It was assigned to this organization in the NPPES registry on December 9, 2008.

Where is Ips Of St Louis LLC located?

Ips Of St Louis LLC is located at 8637 Delmar Blvd, Saint Louis, MO 63124. The listed phone number is (314) 983-0303.

What is Ips Of St Louis LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Ips Of St Louis LLC enrolled in Medicare?

Yes. Ips Of St Louis LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ips Of St Louis LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Ips Of St Louis LLC. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ips Of St Louis LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Ips Of St Louis LLC 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 Ips Of St Louis LLC was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.