MONTACER BELFANCHA NP
NPI 1639914609
Nurse Practitioner in Lake St Louis, MO

Active since July 01, 2024PECOS EnrolledAccepts Medicare Assignment
100 MEDICAL PLZ, LAKE ST LOUIS, MO 63367(636) 584-4803 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Sep 27, 2024, Aug 7, 2024 and 1 more (4 updates tracked since 2024).

About Montacer Belfancha Np NPPES

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

MONTACER BELFANCHA NP (NPI 1639914609) is an individual nurse practitioner in Lake St Louis, Missouri, licensed in Missouri (2024030419) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Hospital West, and maintains a secondary practice location in Sullivan.

NPPES Registry Identity

NPI1639914609
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMONTACER BELFANCHACredential: NP
Location Address100 MEDICAL PLZLake St Louis, MO 63367-1366
Mailing Address100 Medical PlzLake St Louis, MO 63367-1366 · (636) 584-4803
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 1, 2024
Last NPPES UpdateSeptember 19, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1639914609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MO · 2024030419
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 2014004753 (MO)
100 MEDICAL PLZ, Lake St Louis, MO 63367

Secondary Practice Location 1

Location 1965 Mattox DrSullivan, MO 63080-2365 · Phone (573) 860-6000

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

Montacer Belfancha Np 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 ID8426599507
PECOS Enrollment IDI20240916003895
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
18 services18 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63367 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.

Nurse Practitioner
100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367
Emergency Medicine
100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367
Physical Therapy Assistant
100 MEDICAL PLZ
LAKE SAINT LOUIS, MO 63367
Emergency Medicine
100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367
Speech-Language Pathologist
100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367
Nurse Practitioner (Acute Care)
100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367
Pediatrics
100 MEDICAL PLZ
LAKE SAINT LOUIS, MO 63367
Nurse Practitioner (Family)
100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367

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 Montacer Belfancha's NPI number?

The NPI number for Montacer Belfancha is 1639914609. It was assigned to this individual provider in the NPPES registry on July 1, 2024.

Where is Montacer Belfancha located?

Montacer Belfancha practices at 100 Medical Plz, Lake St Louis, MO 63367. The listed phone number is (636) 584-4803.

What is Montacer Belfancha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Montacer Belfancha enrolled in Medicare?

Yes. Montacer Belfancha 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.

Is Montacer Belfancha affiliated with any hospitals?

According to CMS data, Montacer Belfancha is affiliated with Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Montacer Belfancha was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.