MRS. HOLLY J WIESEHAN ACNP
NPI 1609260116
Nurse Practitioner - Gerontology in Saint Louis, MO

Active since March 23, 2015PECOS EnrolledAccepts Medicare Assignment
1020 N MASON RD, DIV IM CARDIOLOGY, STE 100, SAINT LOUIS, MO 63141(314) 362-1291(314) 996-3268 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2025, Aug 8, 2025, Apr 18, 2024 and 4 more (7 updates tracked since 2016).

About Mrs. Holly J Wiesehan Acnp NPPES

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

MRS. HOLLY J WIESEHAN ACNP (NPI 1609260116) is an individual gerontology provider in Saint Louis, Missouri, licensed in Missouri (2015006317) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609260116
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. HOLLY J WIESEHANCredential: ACNP
Location Address1020 N MASON RD, DIV IM CARDIOLOGY, STE 100Saint Louis, MO 63141-6666
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-1291 · Fax (314) 996-3268
Fax(314) 996-3268
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 23, 2015
Last NPPES UpdateSeptember 2, 20257 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
NPI 1609260116 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 · 2015006317
1020 N MASON RD, Saint Louis, MO 63141

Accepted 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. Holly J Wiesehan Acnp 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 ID4981925609
PECOS Enrollment IDI20150608000293
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 3

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 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.
79 services36 patients
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.
74 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260081
Location1015 BowlesFenton, MO 63026 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

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.

Clinic/Center (Rehabilitation, Cardiac Facilities)
1020 N MASON RD, SUITE 200
CREVE COEUR, MO 63141
Clinic/Center (Rehabilitation, Cardiac Facilities)
1020 N MASON RD, SUITE 200
CREVE COEUR, MO 63141
Clinic/Center (Rehabilitation, Cardiac Facilities)
1020 N MASON RD, SUITE 130
CREVE COEUR, MO 63141
Internal Medicine (Cardiovascular Disease)
1020 N MASON RD
SAINT LOUIS, MO 63141
Internal Medicine (Cardiovascular Disease)
1020 N MASON RD, DIV IM CARDIOLOGY, STE 100
SAINT LOUIS, MO 63141
Dietitian, Registered
1020 N MASON RD, PROFESSIONAL BUILDING 3, SUITE 200
CREVE COEUR, MO 63141
Nurse Practitioner (Adult Health)
1020 N MASON RD, DIV SURG VASCULAR, STE 225
SAINT LOUIS, MO 63141
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1020 N MASON RD, DIV IM CARDIOLOGY, STE 100
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 Holly Wiesehan's NPI number?

The NPI number for Holly Wiesehan is 1609260116. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Where is Holly Wiesehan located?

Holly Wiesehan practices at 1020 N Mason Rd Div Im Cardiology, Ste 100, Saint Louis, MO 63141. The listed phone number is (314) 362-1291.

What is Holly Wiesehan's specialty?

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

Is Holly Wiesehan enrolled in Medicare?

Yes. Holly Wiesehan 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 Holly Wiesehan 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 Holly Wiesehan 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 Holly Wiesehan affiliated with any hospitals?

According to CMS data, Holly Wiesehan is affiliated with Ssm St Clare Health Center and Ssm Health St Mary's Hospital - St Louis.

When was this NPI record last updated?

The NPPES record for Holly Wiesehan was last updated on September 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.