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ALLYSON M GRANDEN NP-C
NPI 1649735176
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since February 08, 2019PECOS Enrolled
12266 DEPAUL DRIVE, SUITE 205, SAINT LOUIS, MO 63044(314) 218-2300(314) 646-1700 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2020, Feb 8, 2019 (2 updates tracked since 2019).

About Allyson M Granden Np-c NPPES

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

ALLYSON M GRANDEN NP-C (NPI 1649735176) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (2018038914) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649735176
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameALLYSON M GRANDENCredential: NP-C
Location Address12266 DEPAUL DRIVE, SUITE 205Saint Louis, MO 63044-2727
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Phone(314) 218-2300
Fax(314) 646-1700
Sole ProprietorNo
Enumeration DateFebruary 8, 2019
Last NPPES UpdateOctober 22, 20202 updates tracked since enumeration
NPPES CertifiedOctober 22, 2020
✔ NPI 1649735176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 2018038914
12266 DEPAUL DRIVE, Saint Louis, MO 63044
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allyson M Granden Np-c 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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services23 patients

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 17

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

TCP1, LLC
Pharmacy (Community/Retail Pharmacy)
12266 DEPAUL DRIVE, SUITE 105
BRIDGETON, MO 63044
St. Louis County (314) 344-7567
MRS. PATRICIA BOZZI PT, CHT
Specialist
12266 DEPAUL DRIVE, SUITE 115
BRIDGETON, MO 63044
St. Louis County (314) 209-7700
DR. JONATHAN DAVID DREW D.P.T.
Physical Therapist
12266 DEPAUL DRIVE, SUITE 115
BRIDGETON, MO 63044
St. Louis County (314) 209-7700
SSM DEPAUL MEDICAL GROUP
Durable Medical Equipment & Medical Supplies
12266 DEPAUL DRIVE, SUITE 110
BRIDGETON, MO 63044
St. Louis County (314) 291-7900
MAGGIE MILLER AGNP
Nurse Practitioner (Adult Health)
12266 DEPAUL DRIVE, SUITE 205
BRIDGETON, MO 63044
St. Louis County (314) 218-2300
ARUN VENKAT M.D.
Internal Medicine (Cardiovascular Disease)
12266 DEPAUL DRIVE, 205
BRIDGETON, MO 63044
St. Louis County (314) 218-2300
MEGAN JONES RD, LD
Dietitian, Registered
12266 DEPAUL DRIVE, SUITE 210
BRIDGETON, MO 63044
St. Louis County (314) 344-6800
PHYSICIANS SURGERY CENTER AT DEPAUL LLC
Clinic/Center (Ambulatory Surgical)
12266 DEPAUL DRIVE, SUITE 10
BRIDGETON, MO 63044
St. Louis County (314) 291-7500

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 Allyson Granden's NPI number?

The NPI number for Allyson Granden is 1649735176. It was assigned to this individual provider in the NPPES registry on February 8, 2019.

Where is Allyson Granden located?

Allyson Granden practices at 12266 Depaul Drive Suite 205, Saint Louis, MO 63044. The listed phone number is (314) 218-2300.

What is Allyson Granden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Allyson Granden enrolled in Medicare?

Yes. Allyson Granden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Allyson Granden was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.