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MRS. ASHLEY M BERNEKING NP-C
NPI 1437615044
Nurse Practitioner - Gerontology in Saint Louis, MO

Active since February 19, 2019PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1225 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-6082 Get Directions Write a Review

NPPES record last updated: May 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2023, Mar 11, 2022, Feb 19, 2019 (3 updates tracked since 2019).

About Mrs. Ashley M Berneking Np-c NPPES

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

MRS. ASHLEY M BERNEKING NP-C (NPI 1437615044) is an individual gerontology provider in Saint Louis, Missouri, licensed in Missouri (2019005113) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1437615044
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. ASHLEY M BERNEKINGCredential: NP-C
Location Address1225 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address1225 S Grand BlvdSaint Louis, MO 63104-1016 · (314) 977-6082
Phone(314) 977-6082
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 19, 2019
Last NPPES UpdateMay 6, 20233 updates tracked since enumeration
NPPES CertifiedMay 6, 2023
✔ NPI 1437615044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MO · 2019005113
1225 S GRAND BLVD, Saint Louis, MO 63104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Ashley M Berneking Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779824362
PECOS Enrollment IDI20190409000725
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services45 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

DR. MATTHEW RUSSELL SMEDS MD
Surgery (Vascular Surgery)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4730
MARIANA SAID
Optometrist
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2600
HEATHER ESCHBACH DO
Internal Medicine
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-6100
LUTHER J WILLMORE MD
Psychiatry & Neurology (Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-6082
ANDRES ALEJANDRO MATA HIDALGO MD
Hospitalist
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2650
EDITH SIGLER
Student in an Organized Health Care Education/Training Program
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2660
DR. GUILLERMO LINARES M.D.
Psychiatry & Neurology (Vascular Neurology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4800
RAMA BANDLAMUDI ATLURI M.D.
Internal Medicine (Rheumatology)
1225 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-8836

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 Ashley Berneking's NPI number?

The NPI number for Ashley Berneking is 1437615044. It was assigned to this individual provider in the NPPES registry on February 19, 2019.

Where is Ashley Berneking located?

Ashley Berneking practices at 1225 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-6082.

What is Ashley Berneking's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Ashley Berneking enrolled in Medicare?

Yes. Ashley Berneking is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ashley Berneking accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Ashley Berneking 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.

Is Ashley Berneking affiliated with any hospitals?

According to CMS data, Ashley Berneking is affiliated with Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Berneking was last updated on May 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.