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DANIEL T CEBALLOS AGNP
NPI 1992535330
Nurse Practitioner - Adult Health in Saint Louis, MO

Active since August 01, 2024PECOS EnrolledAccepts Medicare Assignment
12655 OLIVE BLVD FL 4, SAINT LOUIS, MO 63141(314) 394-7444(314) 627-8957 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Daniel T Ceballos Agnp NPPES

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

DANIEL T CEBALLOS AGNP (NPI 1992535330) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (2024026725) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1992535330
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameDANIEL T CEBALLOSCredential: AGNP
Location Address12655 OLIVE BLVD FL 4Saint Louis, MO 63141-6291
Mailing AddressPo Box 410770Saint Louis, MO 63141-0770 · (314) 851-1000
Phone(314) 394-7444
Fax(314) 627-8957
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 1, 2024
NPPES CertifiedAugust 1, 2024
✔ NPI 1992535330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 2024026725
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 2024026725 (MO)
12655 OLIVE BLVD FL 4, Saint Louis, MO 63141
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Daniel T Ceballos 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 ID2567991557
PECOS Enrollment IDI20250121000771
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

2

Medicare enrollment records show Daniel Ceballos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa PC
8.0 mi
Family Medicine
8710 MANCHESTER RD
Saint Louis, MO 63144
  • Reassigned Medicare billing, Missouri enrollment
  • 61 clinicians in this Medicare group
NPI 1073130142 (314) 961-3570
Family Care Health Centers
14 mi
Federally Qualified Health Center (FQHC)
401 HOLLY HILLS AVE
Saint Louis, MO 63111
  • Reassigned Medicare billing, Missouri enrollment
  • 55 clinicians in this Medicare group
NPI 1508867508 (314) 481-1615

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 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 4

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

MEREDITH MASIN RN, BSN
Registered Nurse
12655 OLIVE BLVD FL 4
SAINT LOUIS, MO 63141
St. Louis County (314) 851-1000
AMY SCHAWACKER ANP
Nurse Practitioner (Adult Health)
12655 OLIVE BLVD FL 4
SAINT LOUIS, MO 63141
St. Louis County (314) 851-1000
KACY ANN EMGE RD, LD
Dietitian, Registered
12655 OLIVE BLVD FL 4
SAINT LOUIS, MO 63141
St. Louis County (314) 851-1000
MAUREEN BAKER STAUDER FNP
Nurse Practitioner (Family)
12655 OLIVE BLVD FL 4
SAINT LOUIS, MO 63141
St. Louis County (314) 394-7444

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 Daniel Ceballos's NPI number?

The NPI number for Daniel Ceballos is 1992535330. It was assigned to this individual provider in the NPPES registry on August 1, 2024.

Where is Daniel Ceballos located?

Daniel Ceballos practices at 12655 Olive Blvd Fl 4, Saint Louis, MO 63141. The listed phone number is (314) 394-7444.

What is Daniel Ceballos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Daniel Ceballos enrolled in Medicare?

Yes. Daniel Ceballos 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 Daniel Ceballos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Ceballos reassigns Medicare benefits to 2 organizations: Vpa PC (Saint Louis, MO) and Family Care Health Centers (Saint Louis, MO). 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 Daniel Ceballos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Ceballos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Daniel Ceballos 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 Daniel Ceballos was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.