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NPI · 1508482506 · NPPES-sourced

Matthew Tieskoetter APRN

ActiveAdult Health Nurse Practitioner
NPI Number
1508482506
Type 1 · Individual
Taxonomy Code
363LA2200X
Contact
(314) 291-7900
License MO · 2020003584
Last Updated
Enumerated
Primary practice addressMO · 63044-2512
12349 De Paul Dr Ste 100Bridgeton, MO 63044-2512
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About this NPIWhat this record shows.

NPI 1508482506 is registered to Matthew Tieskoetter APRN, a Adult Health Nurse Practitioner practising at 12349 De Paul Dr Ste 100 in Bridgeton, Missouri. Adult Health Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Matthew Tieskoetter APRN has been enumerated in the National Provider Identifier (NPI) registry since 2020.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Matthew Tieskoetter APRN accepts. To confirm in-network status with your specific health plan, contact Matthew Tieskoetter APRN directly at (314) 291-7900.

Frequently asked

Yes. NPI 1508482506 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Adult Health Nurse Practitioner is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (314) 291-7900.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Matthew Tieskoetter APRN is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363LA2200X
Last updated
Enumerated
StatusActive
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