Mrs Tabitha Marie Baudendistel, BSN, RN, MSN, FNP-C in Saint Peters, MO

Mrs Tabitha Marie Baudendistel, BSN, RN, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Saint Peters, Missouri. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Emergency Physicians Of St Lukes Llc and her current practice location is 154 Saint Peters Centre Blvd, Saint Peters, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 552-9647.

Mrs Tabitha Marie Baudendistel is licensed to practice in Missouri (license number 2024009298) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174381701.

Contact Information

	Mrs Tabitha Marie Baudendistel, BSN, RN, MSN, FNP-C
	154 Saint Peters Centre Blvd, Saint Peters, MO 63376-1695
	(636) 552-9647
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tabitha Marie Baudendistel
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	154 Saint Peters Centre Blvd, Saint Peters, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tabitha Marie Baudendistel graduated from nursing school in 2023

NPI Data:

NPI Number: 1174381701
Provider Enumeration Date: 03/08/2024
Last Update Date: 01/28/2026

Medicare PECOS Information:

PECOS PAC ID: 6305283490
Enrollment ID: I20240325003394

Medical Identifiers

Medical identifiers for Mrs Tabitha Marie Baudendistel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174381701	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2024009298 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Lukes Hospital	Chesterfield, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Emergency Physicians Of St Lukes Llc	3779714142	58

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tabitha Marie Baudendistel allows following entities to bill medicare on her behalf.

Entity Name	Emergency Physicians Of St Lukes Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215359815 PECOS PAC ID: 3779714142 Enrollment ID: O20140327001965

Entity Name	Family Medicine - Slmg South Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164077822 PECOS PAC ID: 3971833443 Enrollment ID: O20190925003479

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tabitha Marie Baudendistel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Tabitha Marie Baudendistel, BSN, RN, MSN, FNP-C 7409 Leona St, Saint Louis, MO 63116-2733 Ph: () -	Mrs Tabitha Marie Baudendistel, BSN, RN, MSN, FNP-C 154 Saint Peters Centre Blvd, Saint Peters, MO 63376-1695 Ph: (636) 552-9647

Reviews and Comments

Nurse Practitioner Nurses in Saint Peters, MO

Carol Berger, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Attention Medical Staff Office, 10 Hospital Drive, Saint Peters, MO 63376 Phone: 314-317-0600
Michelle L. Maloney, RN BC-ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Ste 100, Saint Peters, MO 63376 Phone: 636-916-7272 Fax: 636-916-7274
Mrs. Chelsey Jo Becker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Mid Rivers Mall Dr, Saint Peters, MO 63376 Phone: 866-389-2727
Mrs. Laura Ann Benack, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Entrance Way, Saint Peters, MO 63376 Phone: 636-916-9920 Fax: 636-916-9176
Elizabeth Gordon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4800 Mexico Rd, Suite 102, Saint Peters, MO 63376 Phone: 636-441-0067 Fax: 636-441-1062
Samantha Nicole Lillico, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3701 N Saint Peters Pkwy Ste B2, Saint Peters, MO 63376 Phone: 636-681-3166
Ms. Jennifer Louise Keen, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Jungermann Cir, Suite 209, Saint Peters, MO 63376 Phone: 636-916-9080 Fax: 636-916-9332

Mrs Tabitha Marie Baudendistel, BSN, RN, MSN, FNP-C - Medicare Nurse Practitioner in Saint Peters, MO