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ANDREA E IVY N.P.
NPI 1649220104
Nurse Practitioner - Family in Bridgeton, MO

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
12800 BOENKER LN, BRIDGETON, MO 63044(314) 551-0338(314) 551-0336 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andrea E Ivy N.p. NPPES

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

ANDREA E IVY N.P. (NPI 1649220104) is an individual family provider in Bridgeton, Missouri, licensed in Missouri (137743) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1649220104
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA E IVYCredential: N.P.
Location Address12800 BOENKER LNBridgeton, MO 63044-2438
Mailing Address12800 Boenker LnBridgeton, MO 63044-2438 · (314) 551-0338 · Fax (314) 551-0336
Phone(314) 551-0338
Fax(314) 551-0336
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 14, 2014
✔ NPI 1649220104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 137743
12800 BOENKER LN, Bridgeton, MO 63044
Open in Google Maps ↗

Other Identifiers 6

Medicare UPINQ27494MO
Medicaid429398209MO
Medicare PIN000013853MO
Medicare PIN822223853MO
Medicare PINS39000003MO
Medicare PINMA1084002MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Andrea E Ivy N.p. 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 ID7618930090
PECOS Enrollment IDI20041106000029
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

3

Medicare enrollment records show Andrea Ivy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Altea Medical Missouri LLC
16 mi
Geriatric Medicine
1441 CHARIC DR
Wildwood, MO 63021
  • Reassigned Medicare billing, Missouri enrollment
  • 29 clinicians in this Medicare group
NPI 1649032608 (888) 408-7008
Py Medical Services Of Mo PC
16 mi
Internal Medicine
10954 KENNERLY RD
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • 5 clinicians in this Medicare group
NPI 1316799042 (314) 843-4242
Post Acute Medical PLLC
732 mi
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Missouri enrollment
  • 31 clinicians in this Medicare group
NPI 1730713025 (888) 408-7008

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AIREAL SHASAUNDAI BISHOP NP
Nurse Practitioner (Gerontology)
12800 BOENKER LN
BRIDGETON, MO 63044
St. Louis County (314) 467-8506
BRIDGETON GERIATRICS LLC
Family Medicine
12800 BOENKER LN
BRIDGETON, MO 63044
St. Louis County (314) 551-0338
OMEGA LONG TERM CARE LLC
Assisted Living Facility
12800 BOENKER LN
BRIDGETON, MO 63044
St. Louis County (314) 551-0338
YAM HOME HEALTH LLC
Home Health
12800 BOENKER LN
BRIDGETON, MO 63044
St. Louis County (314) 467-8506
YAM MEDICAL CENTER LLC
General Practice
12800 BOENKER LN
BRIDGETON, MO 63044
St. Louis County (314) 499-6060
DOCTORS GROUP , PC
Internal Medicine
12800 BOENKER LN
BRIDGETON, MO 63044
St. Louis County (314) 551-0338
DR. KHALED R HASSAN MD
Internal Medicine
12800 BOENKER LN
BRIDGETON, MO 63044
St. Louis County (314) 551-0338
NUTRESSA MONROE NURSE PRACTITIONER
Nurse Practitioner
12800 BOENKER LN
BRIDGETON, MO 63044
St. Louis County (314) 744-3444

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 Andrea Ivy's NPI number?

The NPI number for Andrea Ivy is 1649220104. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Andrea Ivy located?

Andrea Ivy practices at 12800 Boenker Ln, Bridgeton, MO 63044. The listed phone number is (314) 551-0338.

What is Andrea Ivy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Ivy enrolled in Medicare?

Yes. Andrea Ivy 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 Andrea Ivy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Ivy reassigns Medicare benefits to 3 organizations: Altea Medical Missouri LLC (Wildwood, MO), Py Medical Services Of Mo PC (Saint Louis, MO) and Post Acute Medical PLLC (Lanham, MD). 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 Andrea Ivy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Ivy accept?

Health plans from UnitedHealthcare list Andrea Ivy 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 Andrea Ivy was last updated on July 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.