GRACE MARIE FREEMAN FNP-BC
NPI 1558977421
Nurse Practitioner - Family in Creve Coeur, MO

Active since September 16, 2020Opted out of Medicare · through Apr 3, 2027
10800 OLIVE BLVD, CREVE COEUR, MO 63141(314) 993-0963 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Marie Freeman Fnp-bc NPPES

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

GRACE MARIE FREEMAN FNP-BC (NPI 1558977421) is an individual family provider in Creve Coeur, Missouri, licensed in Missouri (2020021724) and active in the NPI registry since September 2020. She has opted out of Medicare through April 3, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558977421
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACE MARIE FREEMANCredential: FNP-BC
Location Address10800 OLIVE BLVDCreve Coeur, MO 63141-7773
Mailing Address125 Sunset Villa CtO Fallon, MO 63366-2280 · (636) 577-0502
Sole ProprietorNo
Enumeration DateSeptember 16, 2020
NPPES CertifiedSeptember 16, 2020
NPI 1558977421 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 MO · 2020021724
10800 OLIVE BLVD, Creve Coeur, MO 63141

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Grace Marie Freeman Fnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 3, 2025 through April 3, 2027.

Opt-Out Effective DateApril 3, 2025
Opt-Out In Effect ThroughApril 3, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 2

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

Physician Assistant
10800 OLIVE BLVD
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
10800 OLIVE BLVD
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 Grace Freeman's NPI number?

The NPI number for Grace Freeman is 1558977421. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Where is Grace Freeman located?

Grace Freeman practices at 10800 Olive Blvd, Creve Coeur, MO 63141. The listed phone number is (314) 993-0963.

What is Grace Freeman's specialty?

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

Is Grace Freeman enrolled in Medicare?

No. Grace Freeman has opted out of Medicare through April 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Grace Freeman was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.