MRS. NATASHA BROOKE FRESENBURG (PA-C) – Physician Assistant, NPI 1780020495
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. NATASHA BROOKE FRESENBURG (PA-C)
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 633682207
Phone: (636) 344-2400
Type: Mailing
20 PROGRESS POINT PKWY STE 100
O FALLON, MO 633682207
Phone: (636) 344-2400
Type: Mailing
3635 Vista Ave
Desloge Towers, 1st Floor
Saint Louis, MO 631102539
Phone: (314) 577-8784
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $485.
Total Amount is formed as General ($485) + Research ($0) + Ownership ($0) = $485.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($161).
Total Amount
$485
General + Research + Ownership
Payments
27
Total payment records
General Amount
$485
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-06-19
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 |
|---|---|---|---|---|
| I20150619001716 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63368)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| Hospitalist, Family Practice | MO | |
| Internal Medicine | MO | |
| - | MO | |
| Family Practice | MO | |
| Internal Medicine | IL | |
| Internal Medicine, Hospitalist | MO | |
| Nurse Practitioner | MO |
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