MS. ELIZABETH BURTON WALDEN- PRATER (AGNP) – Nurse Practitioner, NPI 1003323288
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for MS. ELIZABETH BURTON WALDEN- PRATER (AGNP)
Vista Avenue, Gate District, City of Saint Louis, Missouri, 63108-3314, United States
SAINT LOUIS, MO 631102540
Phone: (314) 977-6100
Fax: (314) 977-6164
Type: Mailing
660 S EUCLID AVE
CB 8121
SAINT LOUIS, MO 631101010
Phone: (314) 362-5060
Fax: (314) 996-3238
Type: Mailing
1040 N MASON RD
DIV IM GENERAL MED, STE 122
CREVE COEUR, MO 631416399
Phone: (314) 996-8103
Fax: (314) 996-3230
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 996-8103
Fax: (314) 996-3230
Type: Mailing
1044 N MASON RD
DIV IM GENERAL MED, STE 330
SAINT LOUIS, MO 631416431
Phone: (314) 996-8103
Fax: (314) 996-3230
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $904.
Total Amount is formed as General ($904) + Research ($0) + Ownership ($0) = $904.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($544).
Total Amount
$904
General + Research + Ownership
Payments
17
Total payment records
General Amount
$904
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $544 |
| Novo Nordisk Inc | $247 |
| PFIZER INC. | $98 |
| NESTLE HEALTHCARE NUTRITION INC. | $15 |
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: 2018-04-11
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 |
|---|---|---|---|---|
| I20180411003098 | I | Nurse Practitioner | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 99 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 102 | 74 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 24 | 24 | $0 |
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| Rheumatology, Internal Medicine | MO | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO |
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