DR. PETA-GAY SIMONE NOLAN M.D.
NPI 1750519666
Emergency Medicine in Saint Louis, MO
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Peta-gay Nolan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 265 clinicians in this Medicare group
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 192 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 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 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, MISpectrum Health
Acute Care Hospitals · Grand Rapids, MIPhysician 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.
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 63110
SAINT LOUIS, MO 63110
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.
Which organizations bill Medicare for Peta-gay Nolan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peta-gay Nolan reassigns Medicare benefits to 3 organizations: Ecs Western Michigan PC (Grand Rapids, MI), Visionary Medical Services PC (Grand Rapids, MI) and The Emory Clinic Inc (Atlanta, GA). 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 Peta-gay Nolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Peta-Gay Simone Nolan, M.D. · NPI 1750519666
Emergency Medicine physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 30, 2009.
## Identity
- **NPI:** 1750519666 (Entity type: Individual)
- **Enumerated:** June 30, 2009
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2009012951 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 660 S EUCLID AVE, BOX 8072, Saint Louis, MO 63110-1010
- **Phone:** (314) 362-0478
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ecs Western Michigan PC (NPI 1992281000, Grand Rapids, MI); Visionary Medical Services PC (NPI 1538216569, Grand Rapids, MI); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 2009
## Record status
- **NPPES last updated:** March 5, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1750519666) · Data from the CMS NPPES public registry.