PAULINE ROSE WALDECK CRNA
NPI 1669979118
Nurse Anesthetist, Certified Registered in Saint Louis, MO
About Pauline Rose Waldeck Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAULINE ROSE WALDECK CRNA (NPI 1669979118) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Missouri (119454) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Missouri Baptist Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Pauline Rose Waldeck Crna 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.
Medicare Billing Reassignments
4Medicare enrollment records show Pauline Waldeck reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63131
- Reassigned Medicare billing, Missouri enrollment
- 102 clinicians in this Medicare group
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 221 clinicians in this Medicare group
Saint Peters, MO 63376
- Reassigned Medicare billing, Missouri enrollment
- 26 clinicians in this Medicare group
Maryville, IL 62062
- Reassigned Medicare billing, Illinois enrollment
- 149 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Missouri Baptist Medical Center
Acute Care Hospitals · Town And Country, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SAINT LOUIS, MO 63117
SAINT LOUIS, MO 63117
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 Pauline Waldeck's NPI number?
The NPI number for Pauline Waldeck is 1669979118. It was assigned to this individual provider in the NPPES registry on April 11, 2018.
Where is Pauline Waldeck located?
Pauline Waldeck practices at 6420 Clayton Rd, Saint Louis, MO 63117. The listed phone number is (314) 768-8442.
What is Pauline Waldeck's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Pauline Waldeck enrolled in Medicare?
Yes. Pauline Waldeck 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 Pauline Waldeck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pauline Waldeck reassigns Medicare benefits to 4 organizations: Missouri Baptist Medical Center (Saint Louis, MO), Metro-West Anesthesia Group Inc (Chesterfield, MO), Ambulatory Anesthesia Services Of St. Charles, LLC (Saint Peters, MO) and G & G Anesthesia LLC (Maryville, IL). 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 Pauline Waldeck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Pauline Waldeck affiliated with any hospitals?
According to CMS data, Pauline Waldeck is affiliated with Missouri Baptist Medical Center.
When was this NPI record last updated?
The NPPES record for Pauline Waldeck was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Pauline Rose Waldeck, CRNA · NPI 1669979118
Nurse Anesthetist, Certified Registered physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since April 11, 2018.
## Identity
- **NPI:** 1669979118 (Entity type: Individual)
- **Enumerated:** April 11, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 119454 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6420 CLAYTON RD, Saint Louis, MO 63117-1811
- **Phone:** (314) 768-8442
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Missouri Baptist Medical Center (NPI 1609658905, Saint Louis, MO); Metro-West Anesthesia Group Inc (NPI 1245427335, Chesterfield, MO); Ambulatory Anesthesia Services Of St. Charles, LLC (NPI 1467634097, Saint Peters, MO); G & G Anesthesia LLC (NPI 1487020111, Maryville, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1669979118) · Data from the CMS NPPES public registry.