MS. ELANA RUTH HACKER (PA-C) – Physician Assistant, NPI 1750741351
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for MS. ELANA RUTH HACKER (PA-C)
3015 N BALLAS RD
SAINT LOUIS, MO 631312329
Phone: (314) 996-5772
Type: Mailing
3355, Glendale Avenue, Heather Downs, Toledo, Lucas County, Ohio, 43614, United States
3RD FLOOR
TOLEDO, OH 43614
Phone: (419) 383-4071
Type: Mailing
12303 De Paul Dr
Bridgeton, MO 630442512
Phone: (847) 372-8304
Type: Location
12266 DePaul Drive
Suite 205
Bridgeton, MO 630446304
Phone: (314) 218-2300
Type: Location
3000, Arlington Avenue, Toledo, Lucas County, Ohio, 43614, United States
TOLEDO, OH 436145807
Phone: (419) 383-5150
Fax: (419) 383-3149
Type: Location
1145 CORPORATE LAKE DR
SAINT LOUIS, MO 631322907
Phone: (314) 989-6189
Type: Mailing
12303 DE PAUL DR
BRIDGETON, MO 630442512
Phone: (847) 372-8304
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $642.
Total Amount is formed as General ($642) + Research ($0) + Ownership ($0) = $642.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AngioDynamics, Inc. ($269).
Total Amount
$642
General + Research + Ownership
Payments
17
Total payment records
General Amount
$642
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AngioDynamics, Inc. | $269 |
| CORDIS US CORP. | $266 |
| Nevro Corp. | $42 |
| Smith+Nephew, Inc. | $34 |
| Medtronic, Inc. | $16 |
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: 2024-07-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190821000813 | I | Physician Assistant | MO | TBD |
| I20240715002909 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 132 | 126 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 55 | 54 | $0 |
Insurance plans in this area (ZIP 63131)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL | |
| Nurse Practitioner | MO | |
| Vascular Surgery, General Surgery, Vascular Surgery | MO | |
| General Surgery, Vascular Surgery | MI |
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