JANIECE N STEWART (M.D.) – Sports Medicine (Internal Medicine) Physician, NPI 1841392651
Sports Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JANIECE N STEWART (M.D.)
8 SUNSET HILLS PROFESSIONAL CTR
EDWARDSVILLE, IL 620253760
Phone: (618) 692-6109
Fax: (618) 692-6134
Type: Location
670, Mason Ridge Center Drive, Town and Country, Saint Louis County, Missouri, 63141, United States
STE 300
SAINT LOUIS, MO 631418573
Phone: (618) 692-6109
Fax: (618) 692-6134
Type: Mailing
4255 LACLEDE AVE
SAINT LOUIS, MO 631082814
Phone: (314) 257-0060
Fax: (314) 912-0208
Type: Mailing
2 CLUB CENTRE CT STE 3
EDWARDSVILLE, IL 620253503
Phone: (314) 257-0060
Fax: (314) 912-0208
Type: Location
4255 LACLEDE AVE STE A
SAINT LOUIS, MO 631082814
Phone: (314) 257-0060
Fax: (314) 912-0208
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-11-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061109000179 | I | Physical Medicine And Rehabilitation | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62025)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
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