Andrea Bumb, NNP-BC
Nurse Practitioner, Neonatal in Saint Louis, MO. Individual provider (NPI-1).
NPI number1164036851
StatusActive
Last updated in NPPESMay 16, 2022
Details
- NPI
- 1164036851
- Entity type
- Individual (NPI-1)
- Name
- Andrea Bumb
- Credential
- NNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2020
- Certification date
- May 16, 2022
- Last updated
- May 16, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LN0000X | Nurse Practitioner, Neonatal | 2020026416 | MO | Yes |
Practice location
1 Childrens PlSaint Louis, MO 63110-1002
Phone 314-565-5035
Mailing address
5728 Walsh StSaint Louis, MO 63109-2838
Phone 314-604-6045
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 69 Neonatal Nurse Practitioner providers in Saint Louis · All 34,755 providers in Saint Louis
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