PATRICIA SUE KIPPER (AA-C) – Anesthesiologist Assistant, NPI 1922447002
Anesthesiologist Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
357 ANESTHESIOLOGY ASSISTANT in MO
Provider Addresses for PATRICIA SUE KIPPER (AA-C)
10 Hospital Dr
Saint Peters, MO 633761659
Phone: (314) 895-3828
Fax: (314) 895-3827
Type: Location
10 HOSPITAL DR
SAINT PETERS, MO 633761659
Phone: (314) 895-3828
Fax: (314) 895-3827
Type: Location
745 POPLAR RD
NEWNAN, GA 302651618
Phone: (770) 400-1000
Type: Location
PO BOX 5
HAZELWOOD, MO 630420005
Phone: (314) 895-3828
Fax: (314) 895-3827
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $229.
Total Amount is formed as General ($229) + Research ($0) + Ownership ($0) = $229.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($194).
Total Amount
$229
General + Research + Ownership
Payments
4
Total payment records
General Amount
$229
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
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: 2025-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (951 days ago).
Enrollment records
2
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| I20131007000916 | I | Anesthesiology Assistant | MO | 2023-10-31 |
| I20250205001016 | I | Anesthesiology Assistant | GA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 23 | 23 | $0 |
Insurance plans in this area (ZIP 63376)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| A N E S T H E S I O L O G Y | GA | |
| Anesthesiology Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Anesthesiology Assistant | GA | |
| A N E S T H E S I O L O G Y | FL | |
| Anesthesiology Assistant | GA | |
| A N E S T H E S I O L O G Y | GA | |
| Anesthesiology Assistant | AL | |
| Certified Registered Nurse Anesthetist (Crna) | GA |
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