MS. AMBER RENEE STALLARD (PNP) – Pediatric Emergency Medicine (Pediatrics) Physician, NPI 1578701546
Pediatric Emergency Medicine (Pediatrics) Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. AMBER RENEE STALLARD (PNP)
1 CHILDRENS PL
DIV PED EMERGENCY MED
SAINT LOUIS, MO 631101002
Phone: (314) 454-2341
Fax: (314) 454-4345
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 454-2341
Fax: (314) 454-4345
Type: Mailing
Frank Scott Parkway West, Gartside, Belleville, Saint Clair County, Illinois, 62223, United States
BELLEVILLE, IL 622235010
Phone: (618) 233-3205
Fax: (618) 233-1407
Type: Mailing
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: 2021-11-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180425002232 | I | Nurse Practitioner | IL | TBD |
| I20211113000077 | I | Nurse Practitioner | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 294 | 31 | $0 |
Insurance plans in this area (ZIP 63110)
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