Individual provider Active NPI

Angela M Schiefelbein, FNP, BC

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1972692283
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
133058 Issued in MO
Practice address
3930 S Broadway
Saint Louis, MO 63118-4626
Phone
(314) 814-8531
Fax
(314) 814-8542
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 133058 MO Primary

Addresses

Primary practice location

3930 S Broadway
Saint Louis, MO 63118-4626

Mailing address

1717 Biddle St
Saint Louis, MO 63106-3454
Phone (314) 814-8531

Other identifiers 1

IdentifierTypeStateIssuer
421068008MedicaidMO

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
I20110411000060 MO Practitioner - Nurse Practitioner 5698959021 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
133058MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinia Healthcare CurrentSince Mar 1, 2011 Accepting new patients
Affinia Healthcare Current Accepting new patients
Affinia Healthcare Past Accepting new patients

Locations

4414 N Florissant Ave
Saint Louis, MO 63107
Phone (314) 814-8515

1717 Biddle St
Saint Louis, MO 63106
Phone (314) 814-8515

3930 S Broadway
Saint Louis, MO 63118
Phone (314) 577-6232

Interoperability endpoints

  • Direct secure messaging: angela.schiefelbein.p1@direct.affiniahealthcare.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1972692283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 BIDDLE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631063454",
            "telephone_number": "314-814-8531",
            "fax_number": "314-814-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631184626",
            "telephone_number": "314-814-8531",
            "fax_number": "314-814-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIEFELBEIN",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "FNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "133058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421068008",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.