DR. HEATHER ANNE ELSNER-BOLDT (M.D.) – Family Medicine Physician, NPI 1225065980

DR. HEATHER ANNE ELSNER-BOLDT (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 2008004270 (MO). The NPI Number for DR. HEATHER ANNE ELSNER-BOLDT (M.D.) is 1225065980

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEATHER ANNE ELSNER-BOLDT (M.D.)
NPI
1225065980
Phone
Not provided
Address
424 BURNS AVE
Enumeration Date
27 June 2006
Last Update Date
25 September 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2402384260
Graduation Year
2005 (21 years ago)
PAC ID
6204902463
Group Practice PAC ID
3779723309
Professional Enrollment ID
I20161020000840
Address ID
MD207403209CO4407XRDXX301
Telehealth
Yes
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

2,330 FAMILY PRACTICE in MO

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Provider Addresses for DR. HEATHER ANNE ELSNER-BOLDT (M.D.)

  • 424, Burns Avenue, Corona Park, Kirkwood, Saint Louis County, Missouri, 63122, United States

    SAINT LOUIS, MO 631223805

    Phone:

    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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Exact Sciences Corporation ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20161020000840IFamily PracticeDCTBD
I20231229002159IFamily PracticeGATBD
I20240325003266IFamily PracticeVATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes10175$0
99213Established patient office or other outpatient visit, 20-29 minutes5453$0
87804Detection test by immunoassay with direct visual observation for influenza virus5024$0
36415Insertion of needle into vein for collection of blood sample3735$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus3332$0
View full utilization report →

Insurance plans in this area (ZIP 63122)

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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: 3779723309View full group profile
NameSpecialtyState
Family PracticeMD
Internal MedicineMD
Hospitalist, Internal Medicine, Internal MedicineMO
-VA
Family PracticeDC
Physician AssistantMD
Family PracticeMD
Physician AssistantMD
Physician AssistantVA
-MD

Reviews

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Frequently asked questions

Does DR. HEATHER ANNE ELSNER-BOLDT (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. HEATHER ANNE ELSNER-BOLDT (M.D.) uses 1225065980.
Does the file indicate DR. HEATHER ANNE ELSNER-BOLDT (M.D.) is practicing under active NPI?
Directory data currently reports DR. HEATHER ANNE ELSNER-BOLDT (M.D.) as active.
What is DR. HEATHER ANNE ELSNER-BOLDT (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. HEATHER ANNE ELSNER-BOLDT (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. HEATHER ANNE ELSNER-BOLDT (M.D.) on a map?
Expect Saint Louis, Missouri as a primary anchor for DR. HEATHER ANNE ELSNER-BOLDT (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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