CHARLES PHELAN
NPI 1467275487
Nurse Practitioner - Acute Care in Creve Coeur, MO

Active since November 07, 2024PECOS Enrolled
615 S NEW BALLAS RD, CREVE COEUR, MO 63141(314) 251-6000 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2024, Nov 7, 2024 (2 updates tracked since 2024).

About Charles Phelan NPPES

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

CHARLES PHELAN (NPI 1467275487) is an individual acute care provider in Creve Coeur, Missouri, licensed in Missouri (2024049964) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467275487
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameCHARLES PHELAN
Location Address615 S NEW BALLAS RDCreve Coeur, MO 63141-8221
Mailing Address615 S New Ballas RdSaint Louis, MO 63141-8221 · (844) 735-4710 · Fax (636) 237-4074
Sole ProprietorYes
Enumeration DateNovember 7, 2024
Last NPPES UpdateDecember 27, 20242 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1467275487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MO · 2024049964
Also ListedRegistered NurseTaxonomy 163W00000X · License 2015045012 (MO)
615 S NEW BALLAS RD, Creve Coeur, MO 63141

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Phelan 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 Reassignments

2

Medicare enrollment records show Charles Phelan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
621 S NEW BALLAS RD, SUITE 3016-B
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 326 clinicians in this Medicare group
Hospitalist
10010 KENNERLY RD, 3 SOUTHBRIDGE
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: St Anthonys Physician Organization Hospitalist Services Lc
  • 340 clinicians in this Medicare group

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 63141 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.

Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Dentist
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Psychiatric/Mental Health)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141

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 Charles Phelan's NPI number?

The NPI number for Charles Phelan is 1467275487. It was assigned to this individual provider in the NPPES registry on November 7, 2024.

Where is Charles Phelan located?

Charles Phelan practices at 615 S New Ballas Rd, Creve Coeur, MO 63141. The listed phone number is (314) 251-6000.

What is Charles Phelan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Charles Phelan enrolled in Medicare?

Yes. Charles Phelan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Phelan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Phelan reassigns Medicare benefits to 2 organizations: Mercy Clinic Adult Hospitalists - St. Louis, LLC (Saint Louis, MO) and St Anthonys Physician Organization Hospitalist Services, L.C. (Saint Louis, MO). Each 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 Charles Phelan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Phelan was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.