Active NPI
Valerie Kusterbeck
- Physician Assistant
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2026013082
- Practice address
- 4170 City Ave
Philadelphia, PA 19131-1610 - Phone
- (215) 871-6100
- NPI assigned
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085011348 | IL | |
| Physician Assistant | 363A00000X | PA200001809 | DC | |
| Surgical Physician Assistant | 363AS0400X | PA200001809 | DC | |
| Physician Assistant | 363A00000X | 2026013082 | MO | Primary |
Addresses
Primary practice location
4170 City Ave
Philadelphia, PA 19131-1610
Mailing address
4170 City Ave
Philadelphia, PA 19131-1610
Other practice location 1
900 23rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000
Other practice location 2
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000
Hospital & facility affiliations
- George Washington Univ Hospital
- SSM Health Saint Louis University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026013082 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients |
Locations
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
5405 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-4410
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1932827912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4170 CITY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191311610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4170 CITY AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191311610",
"telephone_number": "215-871-6100"
}
],
"practiceLocations": [
{
"address_1": "900 23rd St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200372342",
"country_code": "US",
"telephone_number": "202-715-4000",
"fax_number": "202-715-4015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041016",
"country_code": "US",
"telephone_number": "314-617-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUSTERBECK",
"first_name": "VALERIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-16",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085011348",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA200001809",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "DC",
"license": "PA200001809",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2026013082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.