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OLIVIA BEAUBRUN MD
NPI 1962922336
Pediatrics in Saint Louis, MO

Active since June 26, 2017PECOS Enrolled
1 CHILDRENS PL # 3S34, SAINT LOUIS, MO 63110(314) 454-6006(314) 454-4102 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 17, 2025, Mar 17, 2018, Jun 26, 2017 (3 updates tracked since 2017).

About Olivia Beaubrun Md NPPES

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

OLIVIA BEAUBRUN MD (NPI 1962922336) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2017019821) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1962922336
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameOLIVIA BEAUBRUNCredential: MD
Location Address1 CHILDRENS PL # 3S34Saint Louis, MO 63110-1002
Mailing Address40 N Kingshighway Blvd Apt 3nSaint Louis, MO 63108-1348
Phone(314) 454-6006
Fax(314) 454-4102
Sole ProprietorNo
Enumeration DateJune 26, 2017
Last NPPES UpdateNovember 17, 20253 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1962922336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2017019821
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency MedicineTaxonomy 207P00000X · License D0097619 (MD)
1 CHILDRENS PL # 3S34, Saint Louis, MO 63110
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Secondary Practice Location 1

Location 11 Childrens PlSaint Louis, MO 63110-1002 · Phone (314) 454-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Beaubrun Md 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.

Medicare Billing Reassignments

3

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

Cep America LLC
702 mi
Emergency Medicine
19801 OBSERVATION DR
Germantown, MD 20876
  • Reassigned Medicare billing, District of Columbia enrollment
  • 105 clinicians in this Medicare group
NPI 1568357754 (301) 754-7500
Mep Health, LLC
705 mi
Emergency Medicine
9901 MEDICAL CENTER DR
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia enrollment
  • 251 clinicians in this Medicare group
NPI 1164483558 (330) 493-4443
Physician Affiliate Group Of New York PC
881 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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.

DR. GRACE ELLEN KENNEDY MD
Pediatrics
1 CHILDRENS PL # 3S34
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6006
DR. RYAN SCOTT MCKEE M.D.
Pediatrics
1 CHILDRENS PL # 3S34
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6006
DR. JAMES ALEXANDER PLURAD MD, MPH
Pediatrics
1 CHILDRENS PL # 3S34
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6006
DR. HALEY BOTTERON MD
Pediatrics
1 CHILDRENS PL # 3S34
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6006
DR. UMANG SOOD M.D
Pediatrics
1 CHILDRENS PL # 3S34
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6006
TATYANA BEAUBRUN MD
Pediatrics
1 CHILDRENS PL # 3S34
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6006
SELVI PILLAI M.D.
Pediatrics
1 CHILDRENS PL # 3S34
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6006
DR. ERIN ELIZABETH BARKER M.D.
Pediatrics
1 CHILDRENS PL # 3S34
SAINT LOUIS, MO 63110
St. Louis City (314) 454-6006

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 Olivia Beaubrun's NPI number?

The NPI number for Olivia Beaubrun is 1962922336. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Olivia Beaubrun located?

Olivia Beaubrun practices at 1 Childrens Pl # 3s34, Saint Louis, MO 63110. The listed phone number is (314) 454-6006.

What is Olivia Beaubrun's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Olivia Beaubrun enrolled in Medicare?

Yes. Olivia Beaubrun is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Olivia Beaubrun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Beaubrun reassigns Medicare benefits to 3 organizations: Cep America LLC (Germantown, MD), Mep Health, LLC (Rockville, MD) and Physician Affiliate Group Of New York PC (New York, NY). 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 Olivia Beaubrun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Olivia Beaubrun was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.