MRS. DENISE J MULLANEY-MAYNARD (ANP, ACNP) – Adult Health Nurse Practitioner, NPI 1629052030
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
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Provider Addresses for MRS. DENISE J MULLANEY-MAYNARD (ANP, ACNP)
670, Mason Ridge Center Drive, Town and Country, Saint Louis County, Missouri, 63141, United States
STE300
SAINT LOUIS, MO 631418573
Phone: (314) 953-6300
Fax: (314) 953-6309
Type: Mailing
Northwest HealthCare, 1225, Graham Road, Florissant, Saint Louis County, Missouri, 63031, United States
STE 2310C
FLORISSANT, MO 630318012
Phone: (314) 953-6300
Fax: (314) 953-6309
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $575.
Total Amount is formed as General ($575) + Research ($0) + Ownership ($0) = $575.
Last reported payment date: 2024-07-26 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($235).
Total Amount
$575
General + Research + Ownership
Payments
29
Total payment records
General Amount
$575
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $235 |
| PFIZER INC. | $49 |
| Smith+Nephew, Inc. | $28 |
| Shockwave Medical, Inc | $27 |
| Davol Inc. | $25 |
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: 2014-04-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140408000456 | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $0 |
| 36589 | Removal of tunneled central venous tube | 21 | 20 | $0 |
Insurance plans in this area (ZIP 63141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| General Surgery, Surgical Oncology | IL | |
| Orthopedic Surgery | CO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| General Surgery | MO | |
| N E U R O S U R G E R Y | MO |
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