MICHAEL THOMAS PIESCHEL
NPI 1639039936
Clinical Nurse Specialist - Gerontology in O Fallon, IL

Active since November 18, 2025PECOS EnrolledAccepts Medicare Assignment
1 SAINT ELIZABETH BLVD # 3000, O FALLON, IL 62269(618) 234-2120 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2026, Nov 18, 2025 (2 updates tracked since 2025).

About Michael Thomas Pieschel NPPES

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

MICHAEL THOMAS PIESCHEL (NPI 1639039936) is an individual gerontology provider in O Fallon, Illinois, licensed in Illinois (209.033858) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and is a graduate of Ohio State University College Of Medicine (2025).

NPPES Registry Identity

NPI1639039936
Entity TypeIndividualMale
Primary Taxonomy364SG0600X
Provider Legal NameMICHAEL THOMAS PIESCHEL
Location Address1 SAINT ELIZABETH BLVD # 3000O Fallon, IL 62269-1099
Mailing Address397 Blue Bird LnTroy, IL 62294-2109 · (218) 349-3727
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2025
Enumeration DateNovember 18, 2025
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1639039936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SG0600X
License✔ Licensed in IL · 209.033858
1 SAINT ELIZABETH BLVD # 3000, O Fallon, IL 62269

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Thomas Pieschel 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 ID8325518954
PECOS Enrollment IDI20260526000515
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Pieschel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
1 SAINT ELIZABETH BLVD
O Fallon, IL 62269
  • Reassigned Medicare billing, Illinois enrollment
  • 38 clinicians in this Medicare group
Skilled Nursing Facility
900 S CHESTNUT ST
Pana, IL 62557
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Hshs Medical Group Inc
  • 317 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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 Michael Pieschel's NPI number?

The NPI number for Michael Pieschel is 1639039936. It was assigned to this individual provider in the NPPES registry on November 18, 2025.

Where is Michael Pieschel located?

Michael Pieschel practices at 1 Saint Elizabeth Blvd # 3000, O Fallon, IL 62269. The listed phone number is (618) 234-2120.

What is Michael Pieschel's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

Is Michael Pieschel enrolled in Medicare?

Yes. Michael Pieschel 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.

Which organizations bill Medicare for Michael Pieschel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Pieschel reassigns Medicare benefits to 2 organizations: St Elizabeths Hospital Of The Hospital Sisters Of The Third Order (O Fallon, IL) and Sjl Health Systems Inc (Pana, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Pieschel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Pieschel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Medica and UnitedHealthcare list Michael Pieschel 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 Michael Pieschel affiliated with any hospitals?

According to CMS data, Michael Pieschel is affiliated with Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Michael Pieschel was last updated on August 24, 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.