ATHINA PATRICK APRN-CNP
NPI 1508318692
Nurse Practitioner - Family in Fort Leonard Wood, MO

Q: What is Athina Patrick's NPI number?

The NPI number for Athina Patrick is 1508318692. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Q: What is Athina Patrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Athina Patrick was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 25, 2016PECOS Enrolled

4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473(573) 596-1600 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, Aug 18, 2022, Feb 25, 2019 and 2 more (5 updates tracked since 2016).

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About Athina Patrick Aprn-cnp NPPES

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

ATHINA PATRICK APRN-CNP (NPI 1508318692) is an individual family provider in Fort Leonard Wood, Missouri, licensed in Ohio (CNP021931) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508318692

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameATHINA PATRICKCredential: APRN-CNP

Location Address4430 MISSOURI AVEFort Leonard Wood, MO 65473-9098

Mailing AddressGeneral Leonard Wood Community Hospital, 4234 Illinois AveFt Leonard Wood, MO 65473-9098 · (573) 596-1600

Phone(573) 596-1600

Sole ProprietorNo

Enumeration DateOctober 25, 2016

Last NPPES UpdateJune 1, 20265 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1508318692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · CNP021931

4430 MISSOURI AVE, Fort Leonard Wood, MO 65473

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Other Identifiers 2

Other14361858OH · Caqh

OtherCNP021931OH · Np License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Athina Patrick Aprn-cnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65473 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

MR. JON-MARC THIBODEAU PA-C

Physician Assistant