EMILY SPECKER – Primary Care Nurse Practitioner, NPI 1912430315

EMILY SPECKER is a healthcare provider. based in Saint louis, Missouri. specializing in Primary Care Nurse Practitioner. They hold a License No. 2017007865 (MO). The NPI Number for EMILY SPECKER is 1912430315

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
EMILY SPECKER
NPI
1912430315
Phone
(314) 952-9956
Address
7472 BRIGHTWOOD DR
Enumeration Date
4 April 2017
Last Update Date
4 April 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4793383720
Graduation Year
2016 (10 years ago)
PAC ID
6305105859
Group Practice PAC ID
0648177873
Professional Enrollment ID
I20200310000346
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for EMILY SPECKER

  • 7472, Brightwood Drive, South Yorkshire, Affton, Saint Louis County, Missouri, 63123, United States

    SAINT LOUIS, MO 631232123

    Phone: (314) 952-9956

    Type: Mailing

  • 15740, South Outer 40, Chesterfield, Saint Louis County, Missouri, 63017, United States

    CHESTERFIELD, MO 630172004

    Phone: (636) 237-4700

    Fax: (314) 364-6350

    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: 2020-03-10

PECOS data refreshed: 2026-06-15

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
I20190221000254INurse PractitionerMOTBD
I20200310000346INurse PractitionerARTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63123)

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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: 0648177873View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YAR
Nurse PractitionerAR
-AR
R H E U M A T O L O G YAR
-AR
-AR
Internal MedicineAR
Cardiovascular Disease (Cardiology), Nuclear MedicineAR
Nurse PractitionerAR
Certified Clinical Nurse Specialist (Cns)AR

Reviews

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Frequently asked questions

How is EMILY SPECKER identified in CMS data?
CMS-hosted NPPES data lists EMILY SPECKER with NPI 1912430315.
Does CMS list EMILY SPECKER as active?
Yes — EMILY SPECKER is active in the NPI listing used on this page.
What healthcare role does EMILY SPECKER hold?
Scheduling teams often label EMILY SPECKER under Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect EMILY SPECKER on a map?
Expect Saint Louis, Missouri as a primary anchor for EMILY SPECKER unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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