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

Active since May 12, 2006PECOS Enrolled
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: July 19, 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.

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
Fax(314) 551-0336
Sole ProprietorNo
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

Other Identifiers 6

Medicare UPINQ27494MO
Medicaid429398209MO
Medicare PIN000013853MO
Medicare PIN822223853MO
Medicare PINS39000003MO
Medicare PINMA1084002MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrea E Ivy N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Internal Medicine
12800 BOENKER LN
BRIDGETON, MO 63044
Family Medicine
12800 BOENKER LN
BRIDGETON, MO 63044
Assisted Living Facility
12800 BOENKER LN
BRIDGETON, MO 63044
Internal Medicine
12800 BOENKER LN
BRIDGETON, MO 63044
Nurse Practitioner
12800 BOENKER LN
BRIDGETON, MO 63044
Home Health
12800 BOENKER LN
BRIDGETON, MO 63044
Nurse Practitioner (Family)
12800 BOENKER LN
BRIDGETON, MO 63044
Nurse Practitioner (Gerontology)
12800 BOENKER LN
BRIDGETON, MO 63044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649220104, enumerated as an "individual" on May 12, 2006.

The provider is located at 12800 BOENKER LN BRIDGETON, MO 63044 and the phone number is (314) 551-0338.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.