MARY J BJORNSTAD (FNP) – Family Nurse Practitioner, NPI 1104935261
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MARY J BJORNSTAD (FNP)
670, Mason Ridge Center Drive, Town and Country, Saint Louis County, Missouri, 63141, United States
SUITE 300
SAINT LOUIS, MO 631418573
Phone: (573) 860-6000
Fax: (573) 860-6016
Type: Mailing
965 MATTOX DR
SULLIVAN, MO 630802365
Phone: (573) 860-6000
Type: Mailing
965, Mattox Drive, Sullivan, Crawford County, Missouri, 63080, United States
SULLIVAN, MO 630802365
Phone: (573) 860-6000
Fax: (573) 860-6016
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 84 Open Payments records for all available years, with a total value of $1,433.
Total Amount is formed as General ($1,433) + Research ($0) + Ownership ($0) = $1,433.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($183).
Total Amount
$1,433
General + Research + Ownership
Payments
84
Total payment records
General Amount
$1,433
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-02-20
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 |
|---|---|---|---|---|
| I20080220000040 | 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.
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
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Internal Medicine | MO | |
| General Surgery | MO | |
| Hospitalist, Internal Medicine | AR | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
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