Lindsey Graviett, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2020021409 Issued in MO

Practice address

1060 Meyer Rd
Wentzville, MO 63385-3800

Phone

(314) 230-1500

Fax

(314) 230-1122

NPI assigned

May 2, 2016

Last updated

Mar 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lindsey Bauer Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Missouri, Columbia School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yoon Dermatology, LLCGroup PAC ID 5799101465, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lgraviett@yoonderm.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yoon Dermatology LLC

  • Dermatology Physician
  • Wentzville, MO
  • NPI 1811510886
  Medicare reassignment Care Compare group NPD
• Pike County Memorial Hospital

  dba PCMH Clinic

  • Rural Health Clinic/Center
  • Bowling Green, MO
  • NPI 1124030424
  Medicare reassignment NPD
• Pike County Memorial Hospital

  • Critical Access Hospital
  • Louisiana, MO
  • NPI 1205837218
  Medicare reassignment NPD
• St Louis Dermatology LLC

  • Dermatology Physician
  • Fenton, MO
  • NPI 1760810543
  Medicare reassignment NPD
• Pike County Memorial Hospital

  dba Medical Walk-In Clinic

  • Rural Health Clinic/Center
  • Bowling Green, MO
  • NPI 1134633456
  NPD
• Pike County Memorial Hospital

  • Critical Access Hospital
  • Louisiana, MO
  • NPI 1346464450
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1235584822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853800",
            "telephone_number": "314-230-1500",
            "fax_number": "314-230-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853800",
            "telephone_number": "314-230-1500",
            "fax_number": "314-230-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Hermann",
            "state": "MO",
            "postal_code": "650411547",
            "country_code": "US",
            "telephone_number": "573-486-2191",
            "fax_number": "573-486-3743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 W Adams St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "MO",
            "postal_code": "633341974",
            "country_code": "US",
            "telephone_number": "573-324-5300",
            "fax_number": "573-324-6059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVIETT",
        "first_name": "LINDSEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2020021409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "BAUER",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gopinath Gorthy, MD
• Theresa Marie Goza, MSW, LCSW
• Gracepointe Medical Billing
• Hillarie Graham, FNP-BC
• Stephanie L Gram, F.N.P.
• Christina Gray, PMHNP
• Jennifer Marie Gray, CPNP-PC
• Michael Ryan Greaves, DDS
• Greene Health Chiropractic, LLC
• Elisa Marjorie Greene, DC

• Dermatology Physician in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.