ANNE MARIE BRIDEGROOM PA - NPI 1811262694 - Physician Assistant in Florissant, MO

Q: What is Anne Bridegroom's NPI number?

The NPI number for Anne Bridegroom is 1811262694. It was assigned to this individual provider in the NPPES registry on March 13, 2012. The provider is also known as Anne Marie Zeiler.

Q: What is Anne Bridegroom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Anne Bridegroom was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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About Anne Marie Bridegroom Pa NPPES

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

ANNE MARIE BRIDEGROOM PA (NPI 1811262694) is an individual medical provider in Florissant, Missouri, licensed in Missouri (2021004987) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Granite City, and is a graduate of University Of South Alabama College Of Medicine (2011).

NPPES Registry Identity

NPI1811262694

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameANNE MARIE BRIDEGROOMCredential: PA

Location Address261 DUNN RDFlorissant, MO 63031-7928

Mailing AddressPo Box 650Edwardsville, IL 62025-0650 · (314) 830-2600 · Fax (314) 830-2648

Phone(314) 830-2600

Fax(314) 830-2648

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2011

Enumeration DateMarch 13, 2012

Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2026

✔ NPI 1811262694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in MO · 2021004987✔ Licensed in IL · 085009102

261 DUNN RD, Florissant, MO 63031

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Other Names 1

Former Name (1)Anne Marie Zeiler

Secondary Practice Location 1

Location 12421 Corporate Ctr Ste 105Granite City, IL 62040-4195 · Phone (314) 830-2600 · Fax (314) 830-2648

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anne Marie Bridegroom Pa 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 ID1052574902

PECOS Enrollment IDI20221004000959

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.

Areas of Expertise CMS Part B claims 2

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 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.

408 services127 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.

184 services82 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PRIYA PATEL RN, BSN, FNP

Nurse Practitioner (Family)