ELIZABETH MAE LEY (FNP) – Family Nurse Practitioner, NPI 1699416610

ELIZABETH MAE LEY (FNP) is a healthcare provider. based in Bloomsdale, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2022009495 (MO). The NPI Number for ELIZABETH MAE LEY (FNP) is 1699416610

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH MAE LEY (FNP)
NPI
1699416610
Phone
(573) 883-7781
Address
255 BODERMAN
Enumeration Date
5 April 2022
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6362068049
Graduation Year
2021 (5 years ago)
PAC ID
9537549936
Group Practice PAC ID
2365739240
Professional Enrollment ID
I20220701000539
Address ID
MO630282235FE660XXBLVD500

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness95
Years active:4State licenses:1Other names

7,065 NURSE PRACTITIONER in MO

Provider Addresses for ELIZABETH MAE LEY (FNP)

  • 255 BODERMAN

    BLOOMSDALE, MO 636279099

    Phone: (573) 883-7781

    Fax: (573) 883-4411

    Type: Mailing

  • 15740 S OUTER 40 RD

    CHESTERFIELD, MO 630172004

    Phone: (636) 735-4755

    Fax: (636) 237-4133

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $249.

Total Amount is formed as General ($249) + Research ($0) + Ownership ($0) = $249.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($125).

Total Amount

$249

General + Research + Ownership

Payments

10

Total payment records

General Amount

$249

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2022-07-01

PECOS data refreshed: 2026-06-15

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
I20220701000539INurse 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 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 63627)

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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: 2365739240View full group profile

Reviews

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Frequently asked questions

Can I verify ELIZABETH MAE LEY (FNP) with an NPI only?
You can start verification with NPI 1699416610 for ELIZABETH MAE LEY (FNP), then check state licensing separately.
Can I rely on ELIZABETH MAE LEY (FNP) being an active provider?
As of the registry snapshot, ELIZABETH MAE LEY (FNP) is marked active.
What is ELIZABETH MAE LEY (FNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for ELIZABETH MAE LEY (FNP) here. Clinical services aligned with this taxonomy classification.
Does ELIZABETH MAE LEY (FNP) list a practice location?
Patients near Bloomsdale, Missouri may find ELIZABETH MAE LEY (FNP) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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