PAULINE ROSE WALDECK CRNA
NPI 1669979118
Nurse Anesthetist, Certified Registered in Saint Louis, MO

Q: 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.

Q: What is Pauline Waldeck's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: 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.

Active since April 11, 2018Accepts Medicare Assignment

80.57/100

CMS Quality Rating

6420 CLAYTON RD, SAINT LOUIS, MO 63117(314) 768-8442 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

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 affiliated with Missouri Baptist Medical Center and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669979118

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NamePAULINE ROSE WALDECKCredential: CRNA

Location Address6420 CLAYTON RDSaint Louis, MO 63117-1811

Mailing Address6420 Clayton RdSaint Louis, MO 63117-1811 · (314) 768-8442

Phone(314) 768-8442

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateApril 11, 2018

✔ NPI 1669979118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MO · 119454

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

6420 CLAYTON RD, Saint Louis, MO 63117

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

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.

PECOS PAC ID4789930827

PECOS Enrollment IDI20180703002325

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

29 services29 patients

Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope 00732

This procedure involves using an endoscope, a flexible tube with a light and camera, to examine or treat your gallbladder, pancreas, or liver. Anesthesia is administered to ensure you're comfortable and pain-free during the procedure.

21 services20 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

15 services15 patients

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, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260108

Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County

Emergency services Birthing friendly

Physician 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.

New Patient

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

80.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

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.

KRISTA HARRY PHARMD

Pharmacist

6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117

St. Louis County (314) 768-8341

ANDERSON WEST JR. REGISTERED NURSE

Registered Nurse

6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117

St. Louis County (314) 768-8644

VICTORIA CERNETICH MS, RD, LD

Dietitian, Registered

6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117

St. Louis County (314) 768-8891

DR. SHOUYING DU M.D

Pathology (Anatomic Pathology & Clinical Pathology)

6420 CLAYTON RD
SAINT LOUIS, MO 63117

St. Louis County (314) 344-7525

AUDREY KATE DOMBROWSKI MS, RD, LD

Dietitian, Registered

6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117

St. Louis County (314) 768-8891

MARISA CLEMENTE

Occupational Therapist

6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117

St. Louis County (314) 768-8000

LAUREN VALERIA EVELTI

Student in an Organized Health Care Education/Training Program

6420 CLAYTON RD
SAINT LOUIS, MO 63117

St. Louis County (314) 768-8000

PAMELA HAMPTON CRNA

Nurse Anesthetist, Certified Registered

6420 CLAYTON RD
SAINT LOUIS, MO 63117

St. Louis County (314) 768-8442

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.

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.