MS. ANNA ILINICHNA HACEATUREAN (PA) – Physician Assistant, NPI 1083256143

MS. ANNA ILINICHNA HACEATUREAN (PA) is a healthcare provider. based in Saint louis, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2019038138 (MO). The NPI Number for MS. ANNA ILINICHNA HACEATUREAN (PA) is 1083256143

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. ANNA ILINICHNA HACEATUREAN (PA)
NPI
1083256143
Phone
(314) 996-5772
Address
3015 N BALLAS RD
Enumeration Date
10 October 2019
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3149968000
Graduation Year
2019 (7 years ago)
PAC ID
5294160479
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20200116000094
Address ID
MO631416337SA12634BLVD300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

1,853 PHYSICIAN ASSISTANT in MO

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Provider Addresses for MS. ANNA ILINICHNA HACEATUREAN (PA)

  • Missouri Baptist Medical Center, 3015, North Ballas Road, Town and Country, Saint Louis County, Missouri, 63131, United States

    SAINT LOUIS, MO 631312329

    Phone: (314) 996-5772

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-1700

    Fax: (314) 362-9878

    Type: Mailing

  • 1 BARNES JEWISH HOSPITAL PLZ

    DIV IM HOSPITALIST

    SAINT LOUIS, MO 631101003

    Phone: (314) 362-1700

    Fax: (314) 362-9878

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200116000094IPhysician AssistantMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6941$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5723$0
99239Hospital discharge day management, more than 30 minutes4242$0
View full utilization report →

Insurance plans in this area (ZIP 63131)

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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: 9830008770View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MS. ANNA ILINICHNA HACEATUREAN (PA)'s NPI?
Yes. MS. ANNA ILINICHNA HACEATUREAN (PA) is listed with NPI 1083256143 in the public NPI dataset.
Is MS. ANNA ILINICHNA HACEATUREAN (PA) listed as active for patients and plans?
The listing shows MS. ANNA ILINICHNA HACEATUREAN (PA) as active in the NPI system.
What is MS. ANNA ILINICHNA HACEATUREAN (PA)'s primary classification?
Physician Assistant is the headline specialty for MS. ANNA ILINICHNA HACEATUREAN (PA) here. Clinical services aligned with this taxonomy classification.
Where is MS. ANNA ILINICHNA HACEATUREAN (PA) based?
MS. ANNA ILINICHNA HACEATUREAN (PA) is tied to Saint Louis, Missouri in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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