Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATHERINE SHENGELIA PA
NPI 1891599635
Physician Assistant in Saint Charles, MO

Q: What is Katherine Shengelia's NPI number?

The NPI number for Katherine Shengelia is 1891599635. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Q: What is Katherine Shengelia's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since April 02, 2025PECOS Enrolled

1475 KISKER RD STE 200, SAINT CHARLES, MO 63304(636) 498-5810 Get Directions Write a Review

NPPES record last updated: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2026, Jul 2, 2025, Apr 2, 2025 (3 updates tracked since 2025).

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About Katherine Shengelia Pa NPPES

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

KATHERINE SHENGELIA PA (NPI 1891599635) is an individual physician assistant in Saint Charles, Missouri, licensed in Missouri (2025011392) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Saint Louis University School Of Medicine (2024).

NPPES Registry Identity

NPI1891599635

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATHERINE SHENGELIACredential: PA

Location Address1475 KISKER RD STE 200Saint Charles, MO 63304-8788

Mailing Address1466 Soaring Eagle DrO Fallon, MO 63366-5997

Phone(636) 498-5810

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2024

Enumeration DateApril 2, 2025

Last NPPES UpdateNovember 4, 20263 updates tracked since enumeration

NPPES CertifiedNovember 4, 2026

✔ NPI 1891599635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MO · 2025011392

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 2025011392 (MO)

1475 KISKER RD STE 200, Saint Charles, MO 63304

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine Shengelia 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 ID446778435

PECOS Enrollment IDI20250513003743

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.

Hospital Affiliations CMS Care Compare 2

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260005

Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County

Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260200

Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63304 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

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

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.

NICHOLAS MOORE M.D.

Family Medicine