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MS. ELIZABETH R DOWNEY
NPI 1740304948
Nurse Practitioner - Pediatrics in Maryland Heights, MO

Active since March 16, 2007PECOS Enrolled
11365 DORSETT RD., MARYLAND HEIGHTS, MO 63043(314) 872-6430(314) 872-6500 Get Directions Write a Review

NPPES record last updated: March 24, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Elizabeth R Downey NPPES

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

MS. ELIZABETH R DOWNEY (NPI 1740304948) is an individual pediatrics provider in Maryland Heights, Missouri, licensed in Missouri (124767) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740304948
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. ELIZABETH R DOWNEY
Location Address11365 DORSETT RD.Maryland Heights, MO 63043
Mailing Address11365 Dorsett Rd.Maryland Heights, MO 63043 · (314) 872-6430 · Fax (314) 872-6500
Phone(314) 872-6430
Fax(314) 872-6500
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateMarch 24, 2009
✔ NPI 1740304948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in MO · 124767✔ Licensed in MO · 000124767
Also ListedRegistered NurseTaxonomy 163W00000X · License 124767 (MO)
11365 DORSETT RD., Maryland Heights, MO 63043
Open in Google Maps ↗

Other Identifiers 1

Medicaid426040903MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Elizabeth R Downey 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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Downey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ssm Cardinal Glennon Childrens Hospital
6.8 mi
Pediatrics
2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group
NPI 1073568226 (314) 268-4070

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63043 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.

AMY C. ZIMMERMANN M.D.
Physical Medicine & Rehabilitation
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
St. Louis County (314) 872-6430
DR. BRIAN J. KELLY M.D.
Pediatrics
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
St. Louis County (314) 872-6430
DR. LYNDA M BRADY M.D.
Specialist
11365 DORSETT RD.
MARYLAND HEIGHTS, MD 63043
St. Louis County (314) 872-6400
EUGENE EVRA M.D.
Physical Medicine & Rehabilitation
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
St. Louis County (314) 872-6430
CONNIE D SIMMONS M.D.
Pediatrics
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
St. Louis County (314) 872-6430
RACHAEL LISA JUEHRING PHD
Psychologist (Clinical)
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
St. Louis County (314) 872-6400
ROD EVAN PELLENBERG M.D.
Pediatrics (Pediatric Cardiology)
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
St. Louis County (314) 872-6400
MRS. MITZIE E GRAELER RN, CPNP
General Acute Care Hospital
11365 DORSETT RD.
MARYLAND HEIGHTS, MO 63043
St. Louis County (314) 872-6400

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 Elizabeth Downey's NPI number?

The NPI number for Elizabeth Downey is 1740304948. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Elizabeth Downey located?

Elizabeth Downey practices at 11365 Dorsett Rd., Maryland Heights, MO 63043. The listed phone number is (314) 872-6430.

What is Elizabeth Downey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Elizabeth Downey enrolled in Medicare?

Yes. Elizabeth Downey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Downey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Downey reassigns Medicare benefits to Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). The 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 Elizabeth Downey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Downey accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Elizabeth Downey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Downey was last updated on March 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.