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

Emily Mae Fleckenstein

Individual provider Physician Assistant · NPI 1710690052

Emily Mae Fleckenstein is a Physician Assistant in Saint Louis, Missouri. Qualified in 2023, 3 years ago. Practices with SSM Cardinal Glennon Children's Hospital, a 33-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2023
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Practice location Address checks out

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2024000065 (MO)

Record details

NPI number1710690052
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 2, 2023
Last updated in NPPESJanuary 5, 2024
Certification dateJanuary 5, 2024
Mailing address5500 Pershing Ave Apt 23, Saint Louis, MO 63112-1790

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 Cardinal Glennon Children'S Hospital — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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