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MELISSA ANN BOMMARITO CPNP-PC
NPI 1770028078
Nurse Practitioner - Pediatrics in Saint Louis, MO

Active since December 23, 2016PECOS Enrolled
1465 S GRAND BLVD, ALLERGY/IMMUNOLOGY, SAINT LOUIS, MO 63104(314) 268-4014(314) 268-2712 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2021, Dec 23, 2016 (2 updates tracked since 2016).

About Melissa Ann Bommarito Cpnp-pc NPPES

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

MELISSA ANN BOMMARITO CPNP-PC (NPI 1770028078) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2016037790) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770028078
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMELISSA ANN BOMMARITOCredential: CPNP-PC
Location Address1465 S GRAND BLVD, ALLERGY/IMMUNOLOGYSaint Louis, MO 63104-1003
Mailing Address1465 S Grand Blvd, Allergy/immunologySaint Louis, MO 63104-1003 · (314) 268-4014 · Fax (314) 268-2712
Phone(314) 268-4014
Fax(314) 268-2712
Sole ProprietorNo
Enumeration DateDecember 23, 2016
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1770028078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 2016037790
1465 S GRAND BLVD, Saint Louis, MO 63104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Ann Bommarito Cpnp-pc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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. SARAH MARGARET HANLY PH.D.
Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5667
KAVIPRIYA KOMESWARAN
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000
ALEXIS HAAS STEWART
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-5700
NATALIE DRURY RD, LD
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5387
TIMOTHY J KUTZ MD
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-6406
CHRISTOPHER SALLEE MD
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 577-1607
AMBER GRANA DO
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5695
DR. ETHAN EMIL PFEIFER MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070

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 Melissa Bommarito's NPI number?

The NPI number for Melissa Bommarito is 1770028078. It was assigned to this individual provider in the NPPES registry on December 23, 2016.

Where is Melissa Bommarito located?

Melissa Bommarito practices at 1465 S Grand Blvd Allergy/Immunology, Saint Louis, MO 63104. The listed phone number is (314) 268-4014.

What is Melissa Bommarito's specialty?

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

Is Melissa Bommarito enrolled in Medicare?

Yes. Melissa Bommarito is registered in the Medicare PECOS enrollment system.

What insurance does Melissa Bommarito accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Melissa Bommarito 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 Melissa Bommarito was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.