Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MRS. JUSTINA GLORIA WOLFORD NP
NPI 1790610707
Nurse Practitioner in Saint Louis, MO

Q: What is Justina Wolford's NPI number?

The NPI number for Justina Wolford is 1790610707. It was assigned to this individual provider in the NPPES registry on June 13, 2026.

Q: What is Justina Wolford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justina Wolford was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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 June 13, 2026PECOS Enrolled

3009 N BALLAS RD STE 383C, SAINT LOUIS, MO 63131(314) 305-1447(314) 996-4546 Get Directions Write a Review

NPPES record added: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mrs. Justina Gloria Wolford Np NPPES

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

MRS. JUSTINA GLORIA WOLFORD NP (NPI 1790610707) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2026026553) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1790610707

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. JUSTINA GLORIA WOLFORDCredential: NP

Location Address3009 N BALLAS RD STE 383CSaint Louis, MO 63131-2324

Mailing AddressPo Box 959203Saint Louis, MO 63195-9203 · (314) 305-1447 · Fax (314) 996-4546

Phone(314) 305-1447

Fax(314) 996-4546

Sole ProprietorNo

Enumeration DateJune 13, 2026

Last NPPES UpdateJuly 16, 2026

NPPES CertifiedJuly 16, 2026

✔ NPI 1790610707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MO · 2026026553

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.

Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License 2026026553 (MO)

3009 N BALLAS RD STE 383C, Saint Louis, MO 63131

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Secondary Practice Location 1

Location 111133 Dunn RdSaint Louis, MO 63136-6119 · Phone (314) 653-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Justina Gloria Wolford Np 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 63131 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. JEI FLORENSARI MARTIN MD

Internal Medicine