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MARYVILLE WOMENS CENTER PC
NPI 1356857171
Obstetrics & Gynecology in Glen Carbon, IL

Active since December 15, 2017
4972 STATE ROUTE 159, GLEN CARBON, IL 62034(618) 288-2970(618) 288-3572 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 29, 2026, Oct 25, 2019, Dec 15, 2017 (3 updates tracked since 2017).

About Maryville Womens Center Pc NPPES

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

MARYVILLE WOMENS CENTER PC (NPI 1356857171) is a healthcare organization registered as an obstetrics & gynecology in Glen Carbon, Illinois and active in the NPI registry since December 2017. The organization lists Lori Beer, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1356857171
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMARYVILLE WOMENS CENTER PC
Location Address4972 STATE ROUTE 159Glen Carbon, IL 62034
Mailing Address4972 State Route 159Glen Carbon, IL 62034 · (618) 288-2970 · Fax (618) 288-3572
Phone(618) 288-2970
Fax(618) 288-3572
Organization SubpartNo
Authorized OfficialLori BeerPractice Manager · (618) 288-2970
Enumeration DateDecember 15, 2017
Last NPPES UpdateApril 29, 20263 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1356857171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4972 STATE ROUTE 159, Glen Carbon, IL 62034
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Maryville Womens Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Maryville Womens Center PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Rodolfo Beer, MD
Obstetrics/Gynecology
NPI 1568428605
4972 STATE ROUTE 159
Glen Carbon, IL 62034
(618) 288-2970
✔ PECOS✔ Accepts MedicareSame address
Sarah Pringle, CNP
Certified Nurse Midwife (CNM)
NPI 1285879882
4600 MEMORIAL DR STE. 400
Belleville, IL 62226
(618) 234-2390
✔ PECOS✔ Accepts Medicare14 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 Maryville Womens Center PC's NPI number?

The NPI number for Maryville Womens Center PC is 1356857171. It was assigned to this organization in the NPPES registry on December 15, 2017.

Where is Maryville Womens Center PC located?

Maryville Womens Center PC is located at 4972 State Route 159, Glen Carbon, IL 62034. The listed phone number is (618) 288-2970.

What is Maryville Womens Center PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Maryville Womens Center PC enrolled in Medicare?

Yes. Maryville Womens Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maryville Womens Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Maryville Womens Center PC, in Certified Nurse Midwife (CNM) and Obstetrics/Gynecology. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Maryville Womens Center PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Maryville Womens Center PC 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 Maryville Womens Center PC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.