ANNA MARIE AIAZZI – Dermatology Physician, NPI 1417597923

ANNA MARIE AIAZZI is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. F01200510 (MO). The NPI Number for ANNA MARIE AIAZZI is 1417597923

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
ANNA MARIE AIAZZI
NPI
1417597923
Phone
Not provided
Address
10012 KENNERLY RD STE 401
Enumeration Date
13 January 2020
Last Update Date
13 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3148425660
Graduation Year
2019 (7 years ago)
PAC ID
0941611776
Group Practice PAC ID
1153303011
Professional Enrollment ID
I20201130000349
Address ID
MO631271569SA12200RDXX413
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for ANNA MARIE AIAZZI

  • 10012 KENNERLY RD STE 401

    SAINT LOUIS, MO 631282197

    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 319 Open Payments records for all available years, with a total value of $6,019.

Total Amount is formed as General ($6,019) + Research ($0) + Ownership ($0) = $6,019.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,345).

Total Amount

$6,019

General + Research + Ownership

Payments

319

Total payment records

General Amount

$6,019

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2020-11-30

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
I20201130000349INurse PractitionerMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 63128)

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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: 1153303011View full group profile
NameSpecialtyState
D E R M A T O L O G YMO
D E R M A T O L O G YMO
D E R M A T O L O G YMO
D E R M A T O L O G YMO
Physician AssistantMO
D E R M A T O L O G YMO
D E R M A T O L O G YMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Does ANNA MARIE AIAZZI have a public NPI I can cite?
Public records show ANNA MARIE AIAZZI under NPI 1417597923.
Should I treat ANNA MARIE AIAZZI as an active provider?
Patients and plans typically see ANNA MARIE AIAZZI as active in the national extract.
What services align with ANNA MARIE AIAZZI's listing?
ANNA MARIE AIAZZI's public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ANNA MARIE AIAZZI?
ANNA MARIE AIAZZI shows a connection to Saint Louis, Missouri in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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