Individual provider Active NPI

Madelyn Morgan Tegerdine, PA

  • Physician Assistant
  • Chesterfield, MO
National Provider Identifier
1255081667
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2022001328 Issued in MO
Practice address
14532 S Outer 40 Rd
Dept Orthopaedic Surgery, Ste 200
Chesterfield, MO 63017-5705
Phone
(314) 514-3500
Fax
(314) 878-7678
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2022001328 MO Primary

Addresses

Primary practice location

14532 S Outer 40 Rd
Dept Orthopaedic Surgery, Ste 200
Chesterfield, MO 63017-5705

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 514-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220405001063 MO Practitioner - Physician Assistant 2769878511 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians
Arnold Physical Therapy and Sports Medicine LLCGroup PAC ID 5698803278, 87 clinicians

Practice addresses (Care Compare)

20 Progress Point Pkwy
Suite 114
O Fallon, MO 63368-2207
Phone (314) 514-3500

4921 Parkview PL
Saint Louis, MO 63110-1032
Phone (314) 514-3500

9594 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 274-6314

Hospital & facility affiliations

  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince Jun 1, 2024 Accepting new patients
SSM Medical Group Inc. CurrentSince May 15, 2022 Accepting new patients
Washington University CurrentSince Jun 2, 2025 Accepting new patients
SSM Medical Group, Inc. CurrentSince May 15, 2022 Accepting new patients
Washington University CurrentSince Jun 2, 2025 Accepting new patients
Washington University Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

12266 De Paul Dr
Ste 205
Bridgeton, MO 63044
Phone (314) 218-2300

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

14532 South Outer 40 Rd
Ste 200
Chesterfield, MO 63017

20 Progress Point Pkwy
Ste 114
O Fallon, MO 63368

3871 Mexico Rd
Saint Charles, MO 63303
Phone (636) 477-6344

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

5201 Mid America Plz
Ste 1500
Saint Louis, MO 63129
Phone (314) 286-2900

4921 Parkview Pl
Ste 6A6B12A
Saint Louis, MO 63110
Phone (314) 747-2551

660 S Euclid Ave
Saint Louis, MO 63110

Organizations & group practices 9

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1255081667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-514-3500",
            "fax_number": "314-878-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14532 S OUTER 40 RD",
            "address_2": "DEPT ORTHOPAEDIC SURGERY, STE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175705",
            "telephone_number": "314-514-3500",
            "fax_number": "314-878-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGERDINE",
        "first_name": "MADELYN",
        "middle_name": "MORGAN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-06-06",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2022001328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "14532 S Outer 40 Rd",
            "address_2": "Dept Orthopaedic Surgery, Ste 200",
            "city": "Chesterfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630175705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.