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MS. LONNIE POLKOW MOCH FNP
NPI 1760815013
Nurse Practitioner in Saint Louis, MO

Active since August 09, 2013PECOS EnrolledAccepts Medicare Assignment
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED, SAINT LOUIS, MO 63110(314) 362-9123(314) 747-3338 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Oct 16, 2023 and 4 more (7 updates tracked since 2019).

About Ms. Lonnie Polkow Moch Fnp NPPES

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

MS. LONNIE POLKOW MOCH FNP (NPI 1760815013) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2016025279) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1760815013
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. LONNIE POLKOW MOCHCredential: FNP
Location Address400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MEDSaint Louis, MO 63110-1014
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-9123 · Fax (314) 747-3338
Phone(314) 362-9123
Fax(314) 747-3338
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 9, 2013
Last NPPES UpdateApril 17, 20257 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
✔ NPI 1760815013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2016025279
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
400 S KINGSHIGHWAY BLVD, Saint Louis, MO 63110
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Other Identifiers 1

Medicaid420039036MO

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 and accepts Medicare assignment

Ms. Lonnie Polkow Moch Fnp 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 ID1951537851
PECOS Enrollment IDI20161101002754
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 Reassignments

3

Medicare enrollment records show Lonnie Moch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care St. Louis
2.4 mi
Emergency Medicine
6420 CLAYTON RD
Saint Louis, MO 63117
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1366400855 (314) 768-8000
Cep America LLC
2.4 mi
Emergency Medicine
6420 CLAYTON RD
Richmond Heights, MO 63117
  • Reassigned Medicare billing, Missouri enrollment
  • 269 clinicians in this Medicare group
NPI 1942855366 (314) 468-8000
Ssm Medical Group, Inc.
14 mi
Multi-Specialty
1011 BOWLES AVE, SUITE 300
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 697 clinicians in this Medicare group
NPI 1700966207 (636) 496-5000

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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services46 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
48 services29 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
30 services23 patients
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.
26 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles 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.

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.

DR. RICHARD THOMAS GRIFFEY MD
Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123
MS. ELIZABETH M CARNAGHI AGNP
Nurse Practitioner
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MEDICINE
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123
DR. RICHARD S TAO MD
Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123
DR. MARK D LEVINE MD
Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123
DR. DAVID K TAN MD
Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123
MR. AJAY MINTON PA
Physician Assistant
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123
DR. BRIAN RANDOLPH FROELKE MD
Emergency Medicine
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123
MS. EVELYN KAY SCRIVNER ACNP
Nurse Practitioner
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63110
St. Louis City (314) 362-9123

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 Lonnie Moch's NPI number?

The NPI number for Lonnie Moch is 1760815013. It was assigned to this individual provider in the NPPES registry on August 9, 2013.

Where is Lonnie Moch located?

Lonnie Moch practices at 400 S Kingshighway Blvd Dept Emergency Med, Saint Louis, MO 63110. The listed phone number is (314) 362-9123.

What is Lonnie Moch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lonnie Moch enrolled in Medicare?

Yes. Lonnie Moch 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 Lonnie Moch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lonnie Moch reassigns Medicare benefits to 3 organizations: Ssm Health Care St. Louis (Saint Louis, MO), Cep America LLC (Richmond Heights, MO) and Ssm Medical Group, Inc. (Fenton, MO). 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 Lonnie Moch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lonnie Moch 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 4 other insurers list Lonnie Moch 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 Lonnie Moch affiliated with any hospitals?

According to CMS data, Lonnie Moch is affiliated with Ssm St Joseph Health Center and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Lonnie Moch was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.