AMANDA J STEPHENS (MD) – Maternal & Fetal Medicine Physician, NPI 1508177593

AMANDA J STEPHENS (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 2017014187 (MO). The NPI Number for AMANDA J STEPHENS (MD) is 1508177593

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA J STEPHENS (MD)
NPI
1508177593
Phone
(314) 991-5000
Address
621 S NEW BALLAS RD STE 2007B
Enumeration Date
24 June 2010
Last Update Date
26 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3149915000
Graduation Year
2010 (16 years ago)
PAC ID
8820224165
Group Practice PAC ID
5294000485
Professional Enrollment ID
I20170725002308
Address ID
MO631418232SA621XXRDXX520
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

928 OBSTETRICS/GYNECOLOGY in MO

Provider Addresses for AMANDA J STEPHENS (MD)

  • 621 S NEW BALLAS RD STE 2007B

    SAINT LOUIS, MO 631418265

    Phone: (314) 991-5000

    Fax: (314) 991-5035

    Type: Mailing

  • PO BOX 843966

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • 500 N KEENE ST STE 406

    COLUMBIA, MO 652018104

    Phone: (573) 499-6041

    Fax: (573) 499-6091

    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: 2021-11-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170725002308IObstetrics/GynecologyMOTBD
I20211123003101IObstetrics/GynecologyILTBD

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.

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

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: 5294000485View full group profile
NameSpecialtyState
Nurse PractitionerMO
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Critical Care (Intensivists), Obstetrics/GynecologyKY
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YCT
O B S T E T R I C S/ G Y N E C O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YMO
Obstetrics/Gynecology, Family PracticeMO

Reviews

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Frequently asked questions

What identifier follows AMANDA J STEPHENS (MD) across health systems?
The NPI 1508177593 uniquely identifies AMANDA J STEPHENS (MD) in U.S. healthcare data.
Should I treat AMANDA J STEPHENS (MD) as an active provider?
Patients and plans typically see AMANDA J STEPHENS (MD) as active in the national extract.
What services align with AMANDA J STEPHENS (MD)'s listing?
AMANDA J STEPHENS (MD)'s public classification highlights Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to AMANDA J STEPHENS (MD)?
AMANDA J STEPHENS (MD) shows a connection to Saint Louis, Missouri in registry-derived data.
Who maintains AMANDA J STEPHENS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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