MRS. JUDITH DOMENICA BRUSATTI APRN-CNP
NPI 1346695939
Nurse Practitioner - Pediatrics in Saint Louis, MO

Active since May 02, 2016PECOS Enrolled
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 268-4107 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Judith Domenica Brusatti Aprn-cnp NPPES

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

MRS. JUDITH DOMENICA BRUSATTI APRN-CNP (NPI 1346695939) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (113802) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346695939
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. JUDITH DOMENICA BRUSATTICredential: APRN-CNP
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 268-4107
Sole ProprietorYes
Enumeration DateMay 2, 2016
Last NPPES UpdateNovember 4, 2020
NPPES CertifiedNovember 4, 2020
NPI 1346695939 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 · 113802
1465 S GRAND BLVD, Saint Louis, MO 63104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Judith Domenica Brusatti Aprn-cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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.

Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104

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 Judith Brusatti's NPI number?

The NPI number for Judith Brusatti is 1346695939. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Judith Brusatti located?

Judith Brusatti practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 268-4107.

What is Judith Brusatti's specialty?

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

Is Judith Brusatti enrolled in Medicare?

Yes. Judith Brusatti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judith Brusatti was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.