KAREN BRAUTIGAM – Nurse Practitioner, NPI 1821197583

KAREN BRAUTIGAM is a healthcare provider. based in O fallon, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 074654 (MO). The NPI Number for KAREN BRAUTIGAM is 1821197583

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KAREN BRAUTIGAM
NPI
1821197583
Phone
(636) 695-2510
Address
5551 WINGHAVEN BLVD STE 142
Enumeration Date
21 September 2006
Last Update Date
30 July 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3149001112
Graduation Year
2003 (23 years ago)
PAC ID
3678662863
Group Practice PAC ID
1658726682
Professional Enrollment ID
I20071211000693
Address ID
MO633012446SA1360XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for KAREN BRAUTIGAM

  • 5551 WINGHAVEN BLVD STE 142

    O FALLON, MO 633683618

    Phone: (636) 695-2510

    Fax: (314) 590-5914

    Type: Location

  • 1 Meramec Bluffs

    Ballwin, MO 630213309

    Phone: (636) 923-2334

    Fax: (314) 590-5956

    Type: Location

  • 600 Breeze Park Dr

    Weldon Spring, MO 633049139

    Phone: (636) 695-2510

    Fax: (314) 590-5914

    Type: Location

  • 121 Saint Lukes Center Dr Ste 504

    Chesterfield, MO 630173519

    Phone: (314) 205-6399

    Fax: (314) 590-5909

    Type: Location

  • 5551 Winghaven Blvd Ste 142

    O Fallon, MO 633683618

    Phone: (636) 695-2510

    Fax: (314) 590-5914

    Type: Location

  • 1100 JORIE BLVD STE 220

    OAK BROOK, IL 605234421

    Phone: (720) 826-4852

    Type: Location

  • 15201 Olive Blvd

    Chesterfield, MO 630171810

    Phone: (636) 898-8531

    Fax: (314) 590-5912

    Type: Location

  • 1360 S 5th St Ste 268

    Saint Charles, MO 633012446

    Phone: (314) 900-1112

    Fax: (888) 920-1915

    Type: Location

  • 12120, Conway Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    SAINT LOUIS, MO 631418213

    Phone: (314) 251-4833

    Fax: (314) 251-8712

    Type: Mailing

  • 8741 S GREENWOOD AVE

    CHICAGO, IL 606197061

    Phone: (630) 521-3132

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-05-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071211000693INurse PractitionerMOTBD
I20220513002191INurse PractitionerILTBD

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
G9484Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical de1111$0
View full utilization report →

Insurance plans in this area (ZIP 63368)

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Reviews

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Frequently asked questions

Can I use this page to confirm KAREN BRAUTIGAM's NPI?
Yes. KAREN BRAUTIGAM is listed with NPI 1821197583 in the public NPI dataset.
Can I rely on KAREN BRAUTIGAM being an active provider?
As of the registry snapshot, KAREN BRAUTIGAM is marked active.
What is KAREN BRAUTIGAM best known for clinically?
Directory data describes KAREN BRAUTIGAM with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KAREN BRAUTIGAM on a map?
Expect O Fallon, Missouri as a primary anchor for KAREN BRAUTIGAM unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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