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MS. MARCELLA M PETZCHEN NP NPI 1255393716


NPI Information

NPI: 1255393716
Provider Name: MS. MARCELLA M PETZCHEN, NP
Classification: Registered Nurse - 163W00000X
Entity Type: Individual
Organization: ST LOUIS UNIVERSITY

PECOS Registration: Yes

Address:
3660 VISTA AVE
SUITE 207
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 977-6100
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MS. Marcella M Petzchen, NP is a registered nurse in Saint Louis, MO with 56 years of experience. The provider is (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. MS. Marcella M Petzchen, NP NPI is 1255393716. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3660 VISTA AVE
SUITE 207
SAINT LOUIS, MO
ZIP 63110-540
Phone: (314) 977-6100
Fax: (314) 977-6137

The NPI 1255393716 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)

The enumeration date for this NPI number is 4/3/2006 and was last updated on 3/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult Health051062MISSOURINo
2363LP2300XNurse PractitionerPrimary Care051062MISSOURINo
3363LW0102XNurse PractitionerWomen's Health051062MISSOURINo
4163W00000XRegistered Nurse051062MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.