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MS. CLAUDIA SOUTHERN NP
NPI 1831588383
Nurse Practitioner - Adult Health in Chesterfield, MO

Active since January 21, 2015PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
224 S WOODS MILL RD STE 620S, CHESTERFIELD, MO 63017(636) 685-7788 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2022, Nov 17, 2022, Apr 23, 2020 (3 updates tracked since 2020).

About Ms. Claudia Southern Np NPPES

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

MS. CLAUDIA SOUTHERN NP (NPI 1831588383) is an individual adult health provider in Chesterfield, Missouri, licensed in Missouri (2014043965) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and maintains a secondary practice location in Lawrenceville.

NPPES Registry Identity

NPI1831588383
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. CLAUDIA SOUTHERNCredential: NP
Location Address224 S WOODS MILL RD STE 620SChesterfield, MO 63017-3619
Mailing Address1000 Medical Center BlvdLawrenceville, GA 30046-7694 · (678) 312-3869
Phone(636) 685-7788
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 21, 2015
Last NPPES UpdateDecember 6, 20223 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
✔ NPI 1831588383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 2014043965
224 S WOODS MILL RD STE 620S, Chesterfield, MO 63017
Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 Medical Center BlvdLawrenceville, GA 30046-7694 · Phone (678) 312-3869

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

Ms. Claudia Southern Np 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 ID2466712344
PECOS Enrollment IDI20230126001033
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 7

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
86 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
59 services36 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
57 services25 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services42 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services17 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

Other Providers at the Same Location NPPES 3

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

MS. CATHY M COLEMAN ANP
Nurse Practitioner (Adult Health)
224 S WOODS MILL RD STE 620S
CHESTERFIELD, MO 63017
St. Louis County (636) 685-7788
AMY LEA SCHMEROLD RN, MSN, AGPCNP
Nurse Practitioner (Adult Health)
224 S WOODS MILL RD STE 620S
CHESTERFIELD, MO 63017
St. Louis County (636) 685-7788
COMPLEX ILLNESS MANAGEMENT OF ST LUKES LLC
Internal Medicine (Hospice and Palliative Medicine)
224 S WOODS MILL RD STE 620S
CHESTERFIELD, MO 63017
St. Louis County (636) 685-7786

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 Claudia Southern's NPI number?

The NPI number for Claudia Southern is 1831588383. It was assigned to this individual provider in the NPPES registry on January 21, 2015.

Where is Claudia Southern located?

Claudia Southern practices at 224 S Woods Mill Rd Ste 620S, Chesterfield, MO 63017. The listed phone number is (636) 685-7788.

What is Claudia Southern's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Claudia Southern enrolled in Medicare?

Yes. Claudia Southern 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.

Is Claudia Southern affiliated with any hospitals?

According to CMS data, Claudia Southern is affiliated with Northside Hospital Gwinnett.

When was this NPI record last updated?

The NPPES record for Claudia Southern was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.