MS. DEDRA M ECHOLS AGNP-C
NPI 1952952905
Nurse Practitioner - Primary Care in Saint Louis, MO

Q: What is Dedra Echols's NPI number?

The NPI number for Dedra Echols is 1952952905. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Q: What is Dedra Echols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Dedra Echols was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 20, 2019PECOS Enrolled

1 JEFFERSON BARRACKS RD, SAINT LOUIS, MO 63125(314) 894-6654 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Dedra M Echols Agnp-c NPPES

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

MS. DEDRA M ECHOLS AGNP-C (NPI 1952952905) is an individual primary care provider in Saint Louis, Missouri, licensed in Missouri (2019036546) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952952905

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMS. DEDRA M ECHOLSCredential: AGNP-C

Location Address1 JEFFERSON BARRACKS RDSaint Louis, MO 63125-4181

Mailing Address1 Jefferson Barracks RdSaint Louis, MO 63125-4181 · (314) 894-6654

Phone(314) 894-6654

Sole ProprietorNo

Enumeration DateSeptember 20, 2019

✔ NPI 1952952905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MO · 2019036546

1 JEFFERSON BARRACKS RD, Saint Louis, MO 63125

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Dedra M Echols Agnp-c 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 63125 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.

KATHERINE LAZET DO

Family Medicine