DR. PETA-GAY SIMONE NOLAN M.D.
NPI 1750519666
Emergency Medicine in Saint Louis, MO

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment
96.27/100
CMS Quality Rating
660 S EUCLID AVE, BOX 8072, SAINT LOUIS, MO 63110(314) 362-0478 Get Directions Write a Review

NPPES record last updated: March 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peta-gay Simone Nolan M.d. NPPES

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

DR. PETA-GAY SIMONE NOLAN M.D. (NPI 1750519666) is an individual emergency medicine provider in Saint Louis, Missouri, licensed in Missouri (2009012951) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of University Of Michigan Medical School (2009).

NPPES Registry Identity

NPI1750519666
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. PETA-GAY SIMONE NOLANCredential: M.D.
Location Address660 S EUCLID AVE, BOX 8072Saint Louis, MO 63110-1010
Mailing Address4444 W Pine Blvd, Apt 308Saint Louis, MO 63108-2349 · (586) 703-3781
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2009
Enumeration DateJune 30, 2009
Last NPPES UpdateMarch 5, 2013
NPI 1750519666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MO · 2009012951
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
660 S EUCLID AVE, Saint Louis, MO 63110

Accepted Insurance

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

Dr. Peta-gay Simone Nolan M.d. 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 ID5496993693
PECOS Enrollment IDI20170127002034
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
86 services85 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
34 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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.

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.

96.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.89
Improvement Activities40

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.

Clinic/Center (Multi-Specialty)
660 S EUCLID AVE, CAMPUS BOX 8081
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
660 S EUCLID AVE
SAINT LOUIS, MO 63110
Student in an Organized Health Care Education/Training Program
660 S EUCLID AVE
SAINT LOUIS, MO 63110
Clinic/Center (Multi-Specialty)
660 S EUCLID AVE
SAINT LOUIS, MO 63110
Pediatrics
660 S EUCLID AVE
SAINT LOUIS, MO 63110
Plastic Surgery
660 S EUCLID AVE
SAINT LOUIS, MO 63110
Nurse Practitioner
660 S EUCLID AVE
SAINT LOUIS, MO 63110
Internal Medicine (Pulmonary Disease)
660 S EUCLID AVE
SAINT LOUIS, MO 63110

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 Peta-gay Nolan's NPI number?

The NPI number for Peta-gay Nolan is 1750519666. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Peta-gay Nolan located?

Peta-gay Nolan practices at 660 S Euclid Ave Box 8072, Saint Louis, MO 63110. The listed phone number is (314) 362-0478.

What is Peta-gay Nolan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Peta-gay Nolan enrolled in Medicare?

Yes. Peta-gay Nolan 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.

What insurance does Peta-gay Nolan accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Peta-gay Nolan 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.

Is Peta-gay Nolan affiliated with any hospitals?

According to CMS data, Peta-gay Nolan is affiliated with Spectrum Health United Hospital and Spectrum Health.

When was this NPI record last updated?

The NPPES record for Peta-gay Nolan was last updated on March 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.