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DR. NATHAN C WILGUS M.D.
NPI 1619382181
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since June 24, 2014PECOS Enrolled
1402 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-8694 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nathan C Wilgus M.d. NPPES

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

DR. NATHAN C WILGUS M.D. (NPI 1619382181) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619382181
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NATHAN C WILGUSCredential: M.D.
Location Address1402 S GRAND BLVDSaint Louis, MO 63104-1004
Mailing Address3450 Russell Blvd, Apt. 106Saint Louis, MO 63104-1593 · (903) 276-7150
Phone(314) 577-8694
Sole ProprietorNo
Enumeration DateJune 24, 2014
✔ NPI 1619382181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1402 S GRAND BLVD, Saint Louis, MO 63104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathan C Wilgus M.d. 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.

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.

HALA YAMOUT M.D.
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
VICTORIA M WITTGEN
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9870
ADAM BALES D.O.
Anesthesiology
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
ALLISON NICOLE PODSEDNIK GARDNER MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3811
DR. KATHERINE JASKOWIAK ROBBINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4547
DR. VIVIAN MAI HATHUC D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4547
TERRY J BUJNAK JR. DO
Orthopaedic Surgery
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3375
MS. FRANCESCA VACCA
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-8694

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 Nathan Wilgus's NPI number?

The NPI number for Nathan Wilgus is 1619382181. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Nathan Wilgus located?

Nathan Wilgus practices at 1402 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-8694.

What is Nathan Wilgus's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nathan Wilgus enrolled in Medicare?

Yes. Nathan Wilgus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nathan Wilgus was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.