MS. ELIZABETH MULLANPHY JUDD (CPNP, PMHS) – Child & Family Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1629021597

MS. ELIZABETH MULLANPHY JUDD (CPNP, PMHS) is a healthcare provider. based in Saint louis, Missouri. specializing in Child & Family Psychiatric/Mental Health Clinical Nurse Specialist. They hold the professional credentials CPNP, PMHS. They hold a License No. 1999140595 (MO). The NPI Number for MS. ELIZABETH MULLANPHY JUDD (CPNP, PMHS) is 1629021597

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELIZABETH MULLANPHY JUDD (CPNP, PMHS)
NPI
1629021597
Phone
(314) 200-5778
Address
2025 S BRENTWOOD BLVD
Enumeration Date
19 May 2006
Last Update Date
18 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6369392550
Graduation Year
2004 (22 years ago)
PAC ID
8628099447
Group Practice PAC ID
0446243760
Professional Enrollment ID
I20051208000409
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MS. ELIZABETH MULLANPHY JUDD (CPNP, PMHS)

  • 2025 S BRENTWOOD BLVD

    SAINT LOUIS, MO 631441833

    Phone: (314) 200-5778

    Type: Location

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    C B 8134

    SAINT LOUIS, MO 631101010

    Phone: (314) 286-1700

    Fax: (314) 286-1777

    Type: Mailing

  • 201, Spencer Road, Saint Peters, Saint Charles County, Missouri, 63376, United States

    SAINT PETERS, MO 633762576

    Phone: (636) 939-2550

    Fax: (636) 939-2551

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 57 Open Payments records for all available years, with a total value of $14,359.

Total Amount is formed as General ($14,359) + Research ($0) + Ownership ($0) = $14,359.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($13,891).

Total Amount

$14,359

General + Research + Ownership

Payments

57

Total payment records

General Amount

$14,359

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2005-12-08

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
I20051208000409INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63144)

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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: 0446243760View full group profile

Reviews

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Frequently asked questions

How do payers reference MS. ELIZABETH MULLANPHY JUDD (CPNP, PMHS)?
For MS. ELIZABETH MULLANPHY JUDD (CPNP, PMHS), use NPI 1629021597 as the unique 10-digit identifier.
Is MS. ELIZABETH MULLANPHY JUDD (CPNP, PMHS) shown as active in public data?
Registry records indicate MS. ELIZABETH MULLANPHY JUDD (CPNP, PMHS) maintains an active NPI.
What kind of doctor is MS. ELIZABETH MULLANPHY JUDD (CPNP, PMHS)?
MS. ELIZABETH MULLANPHY JUDD (CPNP, PMHS) is associated with Child & Family Psychiatric/Mental Health Clinical Nurse Specialist in the directory — Clinical services aligned with this taxonomy classification.
Is MS. ELIZABETH MULLANPHY JUDD (CPNP, PMHS) associated with Saint Louis?
Public fields place MS. ELIZABETH MULLANPHY JUDD (CPNP, PMHS) around Saint Louis, Missouri. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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