BRAYTON WOOTERS
NPI 1902692882
Counselor - Professional in Saint Louis, MO
About Brayton Wooters NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAYTON WOOTERS (NPI 1902692882) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2022045278) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brayton Wooters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brayton Wooters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Missouri enrollment
- 218 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Brayton Wooters's NPI number?
The NPI number for Brayton Wooters is 1902692882. It was assigned to this individual provider in the NPPES registry on April 16, 2025.
Where is Brayton Wooters located?
Brayton Wooters practices at 4932 Kemper Ave # 2W, Saint Louis, MO 63139. The listed phone number is (217) 343-9390.
What is Brayton Wooters's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Brayton Wooters enrolled in Medicare?
Yes. Brayton Wooters is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brayton Wooters's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brayton Wooters reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Brayton Wooters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brayton Wooters accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Brayton Wooters 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 Brayton Wooters was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Brayton Wooters · NPI 1902692882
Professional provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since April 16, 2025.
## Identity
- **NPI:** 1902692882 (Entity type: Individual)
- **Enumerated:** April 16, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2022045278 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 4932 KEMPER AVE # 2W, Saint Louis, MO 63139-1125
- **Phone:** (217) 343-9390
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 16, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1902692882) · Data from the CMS NPPES public registry.