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MR. DEVRAN DANNENBERG PMHNP
NPI 1649065988
Nurse Practitioner - Psychiatric/Mental Health in Saint Louis, MO

Active since April 09, 2025PECOS EnrolledAccepts Medicare Assignment
600 S TAYLOR AVE, DEPT PSYCHIATRY, STE 122, SAINT LOUIS, MO 63110(314) 286-1700(314) 970-9094 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Devran Dannenberg Pmhnp NPPES

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

MR. DEVRAN DANNENBERG PMHNP (NPI 1649065988) is an individual psychiatric/mental health provider in Saint Louis, Missouri, licensed in Missouri (2025014154) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1649065988
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. DEVRAN DANNENBERGCredential: PMHNP
Location Address600 S TAYLOR AVE, DEPT PSYCHIATRY, STE 122Saint Louis, MO 63110-1035
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 286-1700 · Fax (314) 970-9094
Phone(314) 286-1700
Fax(314) 970-9094
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 9, 2025
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedApril 4, 2025
✔ NPI 1649065988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2025014154
600 S TAYLOR AVE, Saint Louis, MO 63110
Open in Google Maps ↗

Other Identifiers 1

Medicaid420163416MO

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

Mr. Devran Dannenberg Pmhnp 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 ID5496252082
PECOS Enrollment IDI20251009000946
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 63110 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.

DR. JESSICA ASHLEY GOLD MD
Psychiatry & Neurology (Psychiatry)
600 S TAYLOR AVE, DEPT PSYCHIATRY, STE 122
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1700
DR. BRIDGET MARY GALATI DO
Psychiatry & Neurology (Psychiatry)
600 S TAYLOR AVE, DEPT PSYCHIATRY, STE 122
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1700
MS. KRISTA JARVIS LPC
Counselor (Professional)
600 S TAYLOR AVE, DEPT PSYCHIATRY, STE 122
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1700
MS. KIMBERLY A BYRD MSW
Social Worker
600 S TAYLOR AVE, DEPT PSYCHIATRY, STE 122
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1700
MR. REUBEN ROBINSON WELCH PHD
Psychologist
600 S TAYLOR AVE, DEPT PSYCHIATRY, STE 122
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1700
DR. GINGER ELLEN NICOL MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
600 S TAYLOR AVE, DEPT PSYCHIATRY, STE 122
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1700
DR. MELISSA A HARBIT MD
Psychiatry & Neurology (Psychiatry)
600 S TAYLOR AVE, DEPT PSYCHIATRY, STE 122
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1700
DR. DONALD DAVID BOHNENKAMP MD
Psychiatry & Neurology (Psychiatry)
600 S TAYLOR AVE, DEPT PSYCHIATRY, STE 122
SAINT LOUIS, MO 63110
St. Louis City (314) 286-1700

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 Devran Dannenberg's NPI number?

The NPI number for Devran Dannenberg is 1649065988. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Devran Dannenberg located?

Devran Dannenberg practices at 600 S Taylor Ave Dept Psychiatry, Ste 122, Saint Louis, MO 63110. The listed phone number is (314) 286-1700.

What is Devran Dannenberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Devran Dannenberg enrolled in Medicare?

Yes. Devran Dannenberg 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.

When was this NPI record last updated?

The NPPES record for Devran Dannenberg was last updated on October 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.