Mary Ellen Brockmann, PNP
NPI 1376633362ActiveIndividual· Nurse Practitioner, Pediatrics· Creve Coeur, MO
Nurse Practitioner, Pediatrics (PNP) in Creve Coeur, Missouri, licensed in MO, with an NPI issued in October 2006.
Overview
| NPI | 1376633362 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PNP |
| Sole proprietor | No |
| NPI issued | Oct 13, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 043919 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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