MS. SUSAN E MITCHELL-DERENSKI WHNP
NPI 1629329578
Nurse Practitioner - Women's Health in Saint Louis, MO

Active since October 01, 2012PECOS EnrolledAccepts Medicare Assignment
81.18/100
CMS Quality Rating
4901 FOREST PARK AVE, DIV OBGYN FAMILY PLANNING, STE 710, SAINT LOUIS, MO 63108(314) 362-4211(888) 315-6494 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Jan 17, 2023 and 2 more (5 updates tracked since 2015).

About Ms. Susan E Mitchell-derenski Whnp NPPES

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

MS. SUSAN E MITCHELL-DERENSKI WHNP (NPI 1629329578) is an individual women's health provider in Saint Louis, Missouri, licensed in Missouri (2012036251) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1629329578
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. SUSAN E MITCHELL-DERENSKICredential: WHNP
Location Address4901 FOREST PARK AVE, DIV OBGYN FAMILY PLANNING, STE 710Saint Louis, MO 63108-1495
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-4211 · Fax (888) 315-6494
Fax(888) 315-6494
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 1, 2012
Last NPPES UpdateApril 17, 20255 updates tracked since enumeration
NPPES CertifiedMarch 24, 2022
NPI 1629329578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in MO · 2012036251
4901 FOREST PARK AVE, Saint Louis, MO 63108

Other Identifiers 1

Medicaid420001391MO

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

Ms. Susan E Mitchell-derenski Whnp 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 ID1850542168
PECOS Enrollment IDI20121114000589
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 63108 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.12
Promoting Interoperability100
Improvement Activities40
Cost64.15

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.

General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
Nurse Practitioner (Family)
4901 FOREST PARK AVE, STE 341
SAINT LOUIS, MO 63108
Psychologist
4901 FOREST PARK AVE, DEPT PSYCHIATRY, STE 441
SAINT LOUIS, MO 63108
Clinic/Center (Multi-Specialty)
4901 FOREST PARK AVE
SAINT LOUIS, MO 63108
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Obstetrics & Gynecology (Gynecology)
4901 FOREST PARK AVE, DIV OBGYN FAMILY PLANNING, STE 710
SAINT LOUIS, MO 63108

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 Susan Mitchell-derenski's NPI number?

The NPI number for Susan Mitchell-derenski is 1629329578. It was assigned to this individual provider in the NPPES registry on October 1, 2012.

Where is Susan Mitchell-derenski located?

Susan Mitchell-derenski practices at 4901 Forest Park Ave Div Obgyn Family Planning, Ste 710, Saint Louis, MO 63108. The listed phone number is (314) 362-4211.

What is Susan Mitchell-derenski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Susan Mitchell-derenski enrolled in Medicare?

Yes. Susan Mitchell-derenski 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 Susan Mitchell-derenski accept?

Health plans from Cox HealthPlans list Susan Mitchell-derenski 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.

When was this NPI record last updated?

The NPPES record for Susan Mitchell-derenski was last updated on April 17, 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.