OLIVIA BEAUBRUN MD
NPI 1962922336
Pediatrics in Saint Louis, MO

Q: 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.

Q: What is Olivia Beaubrun's specialty?

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

Q: 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 8 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.

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: August 02, 2026.

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

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

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.

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