MADELEINE BRANTLEY AGNP
NPI 1487305991
Nurse Practitioner - Gerontology in Saint Louis, MO

Active since January 17, 2022PECOS Enrolled
13319 MANCHESTER RD, SAINT LOUIS, MO 63131(314) 582-5491 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2025, Jan 18, 2022 (2 updates tracked since 2022).

About Madeleine Brantley Agnp NPPES

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

MADELEINE BRANTLEY AGNP (NPI 1487305991) is an individual gerontology provider in Saint Louis, Missouri, licensed in Missouri (2021041454) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487305991
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMADELEINE BRANTLEYCredential: AGNP
Location Address13319 MANCHESTER RDSaint Louis, MO 63131-1710
Mailing Address820 Brownell AveSaint Louis, MO 63122-3237
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 17, 2022
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
NPI 1487305991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MO · 2021041454
Also ListedRegistered NurseTaxonomy 163W00000X · License 2018003994 (MO)
13319 MANCHESTER RD, Saint Louis, MO 63131

Other Names 1

Former Name (1)Madeleine Stock

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Madeleine Brantley Agnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901376946
PECOS Enrollment IDI20260530000155
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 63131 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
13319 MANCHESTER RD
DES PERES, MO 63131
Nurse Practitioner
13319 MANCHESTER RD
DES PERES, MO 63131
Nurse Practitioner (Family)
13319 MANCHESTER RD
SAINT LOUIS, MO 63131

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 Madeleine Brantley's NPI number?

The NPI number for Madeleine Brantley is 1487305991. It was assigned to this individual provider in the NPPES registry on January 17, 2022. The provider is also known as Madeleine Stock.

Where is Madeleine Brantley located?

Madeleine Brantley practices at 13319 Manchester Rd, Saint Louis, MO 63131. The listed phone number is (314) 582-5491.

What is Madeleine Brantley's specialty?

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

Is Madeleine Brantley enrolled in Medicare?

Yes. Madeleine Brantley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madeleine Brantley was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.