Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HEATHER RENEE BLICKENSTAFF MD
NPI 1700415130
Pediatrics - Pediatric Emergency Medicine in Saint Louis, MO

Q: What is Heather Blickenstaff's NPI number?

The NPI number for Heather Blickenstaff is 1700415130. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Q: What is Heather Blickenstaff's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Active since April 07, 2020PECOS Enrolled

1 CHILDRENS PL, DIV PED EMERGENCY MED, SAINT LOUIS, MO 63110(314) 454-2341(314) 454-4345 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 6, 2026, May 24, 2023, Mar 14, 2023 and 2 more (5 updates tracked since 2020).

On this page

About Dr. Heather Renee Blickenstaff Md NPPES

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

DR. HEATHER RENEE BLICKENSTAFF MD (NPI 1700415130) is an individual pediatric emergency medicine provider in Saint Louis, Missouri, licensed in Missouri (2023010994) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700415130

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameDR. HEATHER RENEE BLICKENSTAFFCredential: MD

Location Address1 CHILDRENS PL, DIV PED EMERGENCY MEDSaint Louis, MO 63110-1002

Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-2341 · Fax (314) 454-4345

Phone(314) 454-2341

Fax(314) 454-4345

Sole ProprietorNo

Enumeration DateApril 7, 2020

Last NPPES UpdateJuly 6, 20265 updates tracked since enumeration

NPPES CertifiedMay 24, 2023

✔ NPI 1700415130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in MO · 2023010994

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 2023010994 (MO)

1 CHILDRENS PL, Saint Louis, MO 63110

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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)

Dr. Heather Renee Blickenstaff Md 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.

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.

ARIE BAKER MSW, LCSW

Social Worker (Clinical)

1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110

St. Louis City (314) 747-6169

SUSAN CHEUNG WALSH AUD

Audiologist-Hearing Aid Fitter

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-4649

MS. JENNIFER MARIE JACOBI PNP

Nurse Practitioner (Pediatrics)

1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110

St. Louis City (314) 362-3577

MS. EMILY LINCOLN RN, NNP-BC

Nurse Practitioner (Neonatal, Critical Care)

1 CHILDRENS PL
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6000

MS. MARISSA ROSE PEREZ-MAGNELLI PNP

Nurse Practitioner (Pediatrics)

1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6120

DR. WILLIAM L RIVES MD

Hospitalist

1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2076

DR. PETER M KILBRIDGE MD

Pediatrics

1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110

St. Louis City (314) 454-2479

DR. JEFFREY MAGEE MD

Pediatrics (Pediatric Hematology-Oncology)

1 CHILDRENS PL, DIV PED HEMATOLOGY AND ONC, STE 9S
SAINT LOUIS, MO 63110

St. Louis City (314) 454-6018

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 Heather Blickenstaff's NPI number?

The NPI number for Heather Blickenstaff is 1700415130. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Heather Blickenstaff located?

Heather Blickenstaff practices at 1 Childrens Pl Div Ped Emergency Med, Saint Louis, MO 63110. The listed phone number is (314) 454-2341.

What is Heather Blickenstaff's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Heather Blickenstaff enrolled in Medicare?

Yes. Heather Blickenstaff is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather Blickenstaff was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.