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SIERRA ROSE DEGUIRE AGACNP-BC
NPI 1649008368
Nurse Practitioner - Acute Care in Chesterfield, MO

Active since July 24, 2024PECOS EnrolledAccepts Medicare Assignment
226 S WOODS MILL RD STE 49W, CHESTERFIELD, MO 63017(314) 434-1211(314) 434-4419 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sierra Rose Deguire Agacnp-bc NPPES

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

SIERRA ROSE DEGUIRE AGACNP-BC (NPI 1649008368) is an individual acute care provider in Chesterfield, Missouri, licensed in Missouri (2024029375) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1649008368
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSIERRA ROSE DEGUIRECredential: AGACNP-BC
Location Address226 S WOODS MILL RD STE 49WChesterfield, MO 63017-3663
Mailing Address226 S Woods Mill Rd Ste 49Chesterfield, MO 63017-3662 · (314) 434-1211 · Fax (314) 434-4419
Phone(314) 434-1211
Fax(314) 434-4419
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 24, 2024
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1649008368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MO · 2024029375
226 S WOODS MILL RD STE 49W, Chesterfield, MO 63017
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Sierra Rose Deguire Agacnp-bc 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 ID8921547605
PECOS Enrollment IDI20240826002969
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 Reassignment

Medicare enrollment records show Sierra Deguire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Lukes Medical Group
0.1 mi
Family Medicine
232 S WOODS MILL RD
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 16 clinicians in this Medicare group
NPI 1215308945 (636) 685-7804

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.

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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.

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 Sierra Deguire's NPI number?

The NPI number for Sierra Deguire is 1649008368. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Sierra Deguire located?

Sierra Deguire practices at 226 S Woods Mill Rd Ste 49W, Chesterfield, MO 63017. The listed phone number is (314) 434-1211.

What is Sierra Deguire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sierra Deguire enrolled in Medicare?

Yes. Sierra Deguire 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 organization bills Medicare for Sierra Deguire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sierra Deguire reassigns Medicare benefits to St. Lukes Medical Group (Chesterfield, MO). The 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 Sierra Deguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sierra Deguire accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Sierra Deguire 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 Sierra Deguire affiliated with any hospitals?

According to CMS data, Sierra Deguire is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Sierra Deguire was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.