Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea E Ivy, NP

Individual provider Family Nurse Practitioner · NPI 1649220104

Andrea E Ivy, NP is a Nurse Practitioner in Bridgeton, Missouri. Qualified in 2001, 25 years ago. Practices with Py Medical Services of Mo PC, a 3-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
25
Licensed in
MO
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

12800 Boenker Ln
Bridgeton, MO 63044-2438
Phone: (314) 551-0338
Fax: (314) 551-0336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 137743 (MO)

Record details

NPI number1649220104
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESJuly 14, 2014
Mailing address12800 Boenker Ln, Bridgeton, MO 63044-2438

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Py Medical Services Of Mo Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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