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ESEN ANTAKLI AGNP
NPI 1962869990
Nurse Practitioner - Gerontology in Saint Louis, MO

Active since January 21, 2016PECOS EnrolledAccepts Medicare Assignment
12855 N 40 DR STE 275, SAINT LOUIS, MO 63141(314) 395-7699 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, Jun 30, 2025, Sep 26, 2022 and 1 more (4 updates tracked since 2016).

About Esen Antakli Agnp NPPES

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

ESEN ANTAKLI AGNP (NPI 1962869990) is an individual gerontology provider in Saint Louis, Missouri, licensed in Missouri (2016001674) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962869990
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameESEN ANTAKLICredential: AGNP
Location Address12855 N 40 DR STE 275Saint Louis, MO 63141-8667
Mailing AddressPo Box 412024Creve Coeur, MO 63141-2024 · (314) 395-7699
Phone(314) 395-7699
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 21, 2016
Last NPPES UpdateApril 21, 20264 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1962869990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MO · 2016001674
12855 N 40 DR STE 275, Saint Louis, MO 63141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Esen Antakli Agnp 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 ID6709184856
PECOS Enrollment IDI20160406001228, I20200723001778
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Esen Antakli reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Amr Pain & Spine Clinic LLC
6.1 mi
Pain Medicine
12855 N 40 DR STE 275
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 6 clinicians in this Medicare group
NPI 1396126280 (314) 395-7699
James Cole Physiatry LLC
6.8 mi
Physical Medicine & Rehabilitation
4455 DUNCAN AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri and Texas enrollments
  • 13 clinicians in this Medicare group
NPI 1982336988 (314) 920-8933
Herrera Medical Group Of Bedford & Associates
554 mi
Family Medicine
1305 AIRPORT FREEWAY, SUITE 302
Bedford, TX 76021
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
NPI 1508078452 (817) 283-6995

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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 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.
224 services54 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
134 services44 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
131 services50 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
129 services49 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
46 services22 patients
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.
29 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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 2

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

AMR PAIN & SPINE CLINIC LLC
Physical Medicine & Rehabilitation (Pain Medicine)
12855 N 40 DR STE 275
SAINT LOUIS, MO 63141
St. Louis County (314) 395-7699
DR. BRIAN DOUGLAS MEEK MD
Pain Medicine (Pain Medicine)
12855 N 40 DR STE 275
SAINT LOUIS, MO 63141
St. Louis County (314) 806-1770

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 Esen Antakli's NPI number?

The NPI number for Esen Antakli is 1962869990. It was assigned to this individual provider in the NPPES registry on January 21, 2016.

Where is Esen Antakli located?

Esen Antakli practices at 12855 N 40 Dr Ste 275, Saint Louis, MO 63141. The listed phone number is (314) 395-7699.

What is Esen Antakli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Esen Antakli enrolled in Medicare?

Yes. Esen Antakli 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.

Which organizations bill Medicare for Esen Antakli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Esen Antakli reassigns Medicare benefits to 3 organizations: Amr Pain & Spine Clinic LLC (Saint Louis, MO), James Cole Physiatry LLC (Saint Louis, MO) and Herrera Medical Group Of Bedford & Associates (Bedford, TX). Each 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 Esen Antakli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Esen Antakli accept?

Health plans from Blue Cross and Blue Shield of Texas list Esen Antakli 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 Esen Antakli was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.