MARY WITHOELTER NURSE PRACTITIONER
NPI 1982188389
Nurse Practitioner in Ofallon, MO

Active since September 20, 2018PECOS EnrolledAccepts Medicare Assignment
54.72/100
CMS Quality Rating
2630 STATE HIGHWAY K, OFALLON, MO 63368(636) 980-5300(636) 980-5344 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2025, Apr 8, 2025, Apr 3, 2020 and 1 more (4 updates tracked since 2018).

About Mary Withoelter Nurse Practitioner NPPES

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

MARY WITHOELTER NURSE PRACTITIONER (NPI 1982188389) is an individual nurse practitioner in Ofallon, Missouri, licensed in Missouri (2019033706) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1982188389
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY WITHOELTERCredential: NURSE PRACTITIONER
Location Address2630 STATE HIGHWAY KOfallon, MO 63368
Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (636) 980-5300 · Fax (636) 980-5344
Fax(636) 980-5344
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 20, 2018
Last NPPES UpdateSeptember 18, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
NPI 1982188389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MO · 2019033706
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2019033706 (MO)
2630 STATE HIGHWAY K, Ofallon, MO 63368

Secondary Practice Location 1

Location 19556 Manchester RdSaint Louis, MO 63119-1313 · Phone (314) 373-5740

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Withoelter Nurse Practitioner 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 ID1456699651
PECOS Enrollment IDI20200316000939
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.

Areas of Expertise CMS Part B claims 28

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
384 services52 patients
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.
99 services99 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
66 services66 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
66 services66 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.
59 services58 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
55 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63368 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

54.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.43
Promoting Interoperability0
Improvement Activities40
Cost84.97

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner
2630 STATE HIGHWAY K
OFALLON, MO 63368
Family Medicine
2630 STATE HIGHWAY K, STE 100
OFALLON, MO 63368
Nurse Practitioner
2630 STATE HIGHWAY K, STE 100
O'FALLON, MO 63368
Nurse Practitioner
2630 STATE HIGHWAY K
O'FALLON, MO 63368
Family Medicine
2630 STATE HIGHWAY K, STE 100
O'FALLON, MO 63368
Family Medicine
2630 STATE HIGHWAY K, STE 100
OFALLON, MO 63368
Family Medicine
2630 STATE HIGHWAY K, STE 100
O'FALLON, MO 63368

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 Mary Withoelter's NPI number?

The NPI number for Mary Withoelter is 1982188389. It was assigned to this individual provider in the NPPES registry on September 20, 2018.

Where is Mary Withoelter located?

Mary Withoelter practices at 2630 State Highway K, Ofallon, MO 63368. The listed phone number is (636) 980-5300.

What is Mary Withoelter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Withoelter enrolled in Medicare?

Yes. Mary Withoelter 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.

What insurance does Mary Withoelter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Mary Withoelter 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 Mary Withoelter was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.