MRS. THERESA A BOXDORFER (FNP) – Family Nurse Practitioner, NPI 1063566768
Family 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 MRS. THERESA A BOXDORFER (FNP)
12639, Old Tesson Road, Saint Louis County, Missouri, 63128, United States
SUITE 115
SAINT LOUIS, MO 631282786
Phone: (314) 849-0311
Fax: (314) 849-4423
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $123.
Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.
Last reported payment date: 2023-05-10 • Largest payer in this snapshot: Abbott Laboratories ($123).
Total Amount
$123
General + Research + Ownership
Payments
1
Total payment records
General Amount
$123
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $123 |
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: 2007-04-12
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 |
|---|---|---|---|---|
| I20070412000506 | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 458 | 99 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 232 | 150 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 210 | 119 | $0 |
| 73562 | X-ray of knee, 3 views | 160 | 110 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 96 | 91 | $0 |
Insurance plans in this area (ZIP 63128)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MO | 27447 | Repair of knee joint | 25 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MO | |
| Nurse Practitioner | MO | |
| Orthopedic Surgery, Hand Surgery | NY | |
| Physical Medicine And Rehabilitation | MO | |
| Physical Therapist In Private Practice | MO | |
| Orthopedic Surgery | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Physical Therapist In Private Practice | MO | |
| A L L E R G Y/ I M M U N O L O G Y | MO |
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