DR. CAROLINE GRACE NUGENT MD
NPI 1790303493
Hospitalist in Wildwood, MO

Q: What is Caroline Nugent's NPI number?

The NPI number for Caroline Nugent is 1790303493. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Q: What is Caroline Nugent's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Nugent was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 09, 2020PECOS Enrolled

16555 MANCHESTER RD STE 201, WILDWOOD, MO 63040(636) 458-5858(636) 458-6510 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 5, 2024, Apr 25, 2024, Apr 10, 2024 and 3 more (6 updates tracked since 2020).

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About Dr. Caroline Grace Nugent Md NPPES

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

DR. CAROLINE GRACE NUGENT MD (NPI 1790303493) is an individual hospitalist provider in Wildwood, Missouri, licensed in Missouri (2021042916) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1790303493

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. CAROLINE GRACE NUGENTCredential: MD

Location Address16555 MANCHESTER RD STE 201Wildwood, MO 63040-1220

Mailing AddressPo Box 776084Chicago, IL 60677-6084 · (636) 458-5858 · Fax (636) 458-6510

Phone(636) 458-5858

Fax(636) 458-6510

Sole ProprietorNo

Enumeration DateJuly 9, 2020

Last NPPES UpdateJune 5, 20246 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1790303493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in MO · 2021042916

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedPediatricsTaxonomy 208000000X · License 2021042916 (MO)

16555 MANCHESTER RD STE 201, Wildwood, MO 63040

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Secondary Practice Location 1

Location 11 Childrens Pl, Div Ped Hospitalist MedSaint Louis, MO 63110-1002 · Phone (314) 454-2076 · Fax (314) 747-8953

Other Identifiers 1

Medicaid200083457MO

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)

Dr. Caroline Grace Nugent Md 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 Reassignments

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

Mercy Clinic East Communities

Same address

Multi-Specialty

16555 MANCHESTER RD STE 110
Wildwood, MO 63040

Reassigned Medicare billing, Missouri enrollment
744 clinicians in this Medicare group

NPI 1164857397 (636) 405-3155

Washington University

20 mi

Multi-Specialty

1 CHILDRENS PL
Saint Louis, MO 63110

Reassigned Medicare billing, Missouri enrollment
628 clinicians in this Medicare group

NPI 1194765685 (314) 286-1264

Washington University Physicians In Illinois, Inc

20 mi

Multi-Specialty

4901 FOREST PARK AVE STE 341
Saint Louis, MO 63108

Reassigned Medicare billing, Illinois enrollment
530 clinicians in this Medicare group

NPI 1457203135 (314) 454-8181

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 63040 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

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.

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 Caroline Nugent's NPI number?

The NPI number for Caroline Nugent is 1790303493. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Caroline Nugent located?

Caroline Nugent practices at 16555 Manchester Rd Ste 201, Wildwood, MO 63040. The listed phone number is (636) 458-5858.

What is Caroline Nugent's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Caroline Nugent enrolled in Medicare?

Yes. Caroline Nugent is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Caroline Nugent's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Nugent reassigns Medicare benefits to 3 organizations: Mercy Clinic East Communities (Wildwood, MO), Washington University (Saint Louis, MO) and Washington University Physicians In Illinois, Inc (Saint Louis, 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 Caroline Nugent's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Nugent accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 3 other insurers list Caroline Nugent 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 Caroline Nugent was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.