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

Cody Adam Stieglitz

Individual provider Mental Health Counselor · NPI 1396390464

Cody Adam Stieglitz is a Physician Assistant in Florissant, Missouri. Qualified in 2023, 3 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1120 Shackelford Rd
Florissant, MO 63031-4369
Phone: (314) 921-4420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3248 Vandever Ave, Pekin, IL 61554-6274 — (309) 347-5522
  • 3437 Caroline St, Saint Louis, MO 63104-1111 — (314) 977-6338

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2024007251 (MO)
Mental Health Counselor Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MO)

Record details

NPI number1396390464
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 6, 2019
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Florissant