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

MS. Mandy Elizabeth Bettenhausen, AGNP

Individual provider Gerontology Nurse Practitioner · NPI 1295254266

MS. Mandy Elizabeth Bettenhausen, AGNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2018, 8 years ago. Practices with Urology of St Louis Inc, a 111-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2017
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

4901 Forest Park Ave Div Surg Accs Ste 340
Saint Louis, MO 63108-1495
Phone: (314) 362-5298
Fax: (888) 824-2176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2019008105 (MO)

Record details

NPI number1295254266
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedSeptember 11, 2017
Last updated in NPPESAugust 23, 2023
Certification dateMay 18, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Urology Of St Louis Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Louis