MARY JOANNA PETRUSKA-NORDMANN M.D.
NPI 1386698512
Pediatrics in Saint Charles, MO

Q: What is Mary Petruska-nordmann's NPI number?

The NPI number for Mary Petruska-nordmann is 1386698512. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Q: What is Mary Petruska-nordmann's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 20, 2006PECOS Enrolled

300 1ST CAPITOL DR, SAINT CHARLES, MO 63301(636) 947-5000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mary Joanna Petruska-nordmann M.d. NPPES

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

MARY JOANNA PETRUSKA-NORDMANN M.D. (NPI 1386698512) is an individual pediatrics provider in Saint Charles, Missouri, licensed in Missouri (111318) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386698512

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARY JOANNA PETRUSKA-NORDMANNCredential: M.D.

Location Address300 1ST CAPITOL DRSaint Charles, MO 63301-2844

Mailing Address1836 Lackland Hill Pkwy, Attn: CredentialingSaint Louis, MO 63146-3572 · (314) 989-0300 · Fax (314) 810-1399

Phone(636) 947-5000

Sole ProprietorNo

Enumeration DateMay 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1386698512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · 111318

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

300 1ST CAPITOL DR, Saint Charles, MO 63301

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Joanna Petruska-nordmann M.d. 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 Petruska-nordmann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ssm Health Care St. Louis

Same address

Emergency Medicine

300 1ST CAPITOL DR
Saint Charles, MO 63301

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

NPI 1427002922 (636) 947-5000

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 63301 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.

KATHLEEN F. CHRISTLIEB PA

Physician Assistant