AMANDA HEIDEMANN (MD) – Family Medicine Physician, NPI 1043329105

AMANDA HEIDEMANN (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 2002002039 (MO). The NPI Number for AMANDA HEIDEMANN (MD) is 1043329105

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA HEIDEMANN (MD)
NPI
1043329105
Phone
(636) 980-5300
Address
670 MASON RIDGE CENTER DR
Enumeration Date
30 August 2006
Last Update Date
20 February 2012

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3149612255
Graduation Year
1999 (27 years ago)
PAC ID
6709940729
Group Practice PAC ID
8820171929
Professional Enrollment ID
I20090205000277
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for AMANDA HEIDEMANN (MD)

  • 670, Mason Ridge Center Drive, Town and Country, Saint Louis County, Missouri, 63141, United States

    SUITE 300

    SAINT LOUIS, MO 631418573

    Phone: (636) 980-5300

    Fax: (636) 980-5344

    Type: Mailing

  • Highway K, O’Fallon, Saint Charles County, Missouri, 63368, United States

    O FALLON, MO 633686624

    Phone: (636) 980-5300

    Fax: (636) 980-5344

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 63141)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820171929View full group profile
NameSpecialtyState
TAYLOR NICOLE MELGAR (PA-C)
Physician AssistantMO
MS. LAURA M GRAMOLINO (FNP-C)
Nurse PractitionerMO
MARLEE ANN KEELE (NP-C)
Nurse PractitionerMO
RILEY B BUSCH (PA-C)
Physician AssistantMO
DR. THOMAS FOX JR. LANDHOLT (MD)
-MO
MRS. LINDSEY ELLEN GASPAR (PA)
-MO
MRS. CHARITY MICHELLE HUFF (FNP-C)
Nurse PractitionerMO
SAMANTHA NICOLE LILLICO (FNP-C)
Nurse PractitionerMO
AARON W GUTHRIE (MD)
Family PracticeFL
KAMAL R DEMETRY (M.D.)
-MO

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Frequently asked questions

Is AMANDA HEIDEMANN (MD) listed with a National Provider Identifier?
Yes — AMANDA HEIDEMANN (MD) has NPI 1043329105 on file in the registry.
Active or inactive — what applies to AMANDA HEIDEMANN (MD)?
You should see AMANDA HEIDEMANN (MD) as active in CMS-hosted NPPES data.
What area of care is associated with AMANDA HEIDEMANN (MD)?
AMANDA HEIDEMANN (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is AMANDA HEIDEMANN (MD) associated with Saint Louis?
Public fields place AMANDA HEIDEMANN (MD) around Saint Louis, Missouri. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for AMANDA HEIDEMANN (MD) is noted as August 30, 2006 where the registry provides it.

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