MRS. ANITA DETCHEMENDY (ANP) – Gerontology Nurse Practitioner, NPI 1225586936
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for MRS. ANITA DETCHEMENDY (ANP)
121 SAINT LUKES CENTER DR
SUITE 506
CHESTERFIELD, MO 630173518
Phone: (314) 576-8102
Fax: (314) 590-5930
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 68 Open Payments records for all available years, with a total value of $1,622.
Total Amount is formed as General ($1,622) + Research ($0) + Ownership ($0) = $1,622.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($389).
Total Amount
$1,622
General + Research + Ownership
Payments
68
Total payment records
General Amount
$1,622
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $389 |
| AstraZeneca Pharmaceuticals LP | $178 |
| GlaxoSmithKline, LLC. | $151 |
| Daiichi Sankyo Inc. | $95 |
| Novo Nordisk Inc | $85 |
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: 2016-10-11
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 |
|---|---|---|---|---|
| I20161011000398 | 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 |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 288 | 288 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 163 | 127 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 133 | 110 | $0 |
| G0008 | Administration of influenza virus vaccine | 23 | 23 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 20 | 20 | $0 |
Insurance plans in this area (ZIP 63017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | IL | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery | MO | |
| Orthopedic Surgery, Sports Medicine | MO | |
| Orthopedic Surgery | MO | |
| Internal Medicine, Hospitalist | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO |
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