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

Dr. Nicolette Caroline Vassallo, MD

Individual provider Pediatric Anesthesiology Physician · NPI 1053949925

Dr. Nicolette Caroline Vassallo, MD is an Anesthesiology in Saint Louis, Missouri. Graduated from University of Miami, Lm Miller School of Medicine in 2020, 6 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
MO
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Childrens Pl Dept Anesthesiology
Saint Louis, MO 63110-1002
Phone: (800) 862-9980
Fax: (314) 362-1185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X · Licence 2025036377 (MO)

Record details

NPI number1053949925
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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