Individual provider Active NPI

Briana Marie Raterman, FNP-C

  • Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1679285464
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2022049212 Issued in MO
Practice address
500 Chesterfield Ctr Ste 250
Chesterfield, MO 63017-4833
Phone
(636) 519-8889
NPI assigned
Dec 23, 2022
Last updated
Dec 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2022049212 MO Primary

Addresses

Primary practice location

500 Chesterfield Ctr Ste 250
Chesterfield, MO 63017-4833

Mailing address

1051 Mitchell Way
Pacific, MO 63069-6318
Phone (636) 297-0057

Other practice location 1

1405 N Truman Blvd
Festus, MO 63028-1177
Phone (636) 933-2243

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
I20230405000693 MO Practitioner - Nurse Practitioner 9032584057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1405 N Truman Blvd
Festus, MO 63028-1177
Phone (636) 933-2243

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Pain Institute, LLC CurrentSince Mar 1, 2023 Accepting new patients
Interventional Pain Institute, LLC CurrentSince Mar 1, 2023 Accepting new patients

Locations

17300 North Outer 40 Rd
Ste 100
Chesterfield, MO 63005
Phone (314) 865-7992

500 Chesterfield Ctr
Ste 250
Chesterfield, MO 63017
Phone (636) 519-8889

1405 N Truman Blvd
Festus, MO 63028
Phone (314) 432-2329

721 S 5th St
Saint Charles, MO 63301

60 Business Park Dr
Ste A
Troy, MO 63379
Phone (636) 728-9460

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1679285464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 MITCHELL WAY",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630696318",
            "telephone_number": "636-297-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHESTERFIELD CTR STE 250",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174833",
            "telephone_number": "636-519-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 N Truman Blvd",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630281177",
            "country_code": "US",
            "telephone_number": "636-933-2243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATERMAN",
        "first_name": "BRIANA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2022049212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.