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

Patrice Staten, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1154481364

Patrice Staten, MD is an Obstetrics/Gynecology in Maryville, Illinois. Graduated from University of Missouri, Kansas City, School of Medicine in 1994, 32 years ago. Practices with Anderson Medical Group LLC, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
32
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
IL
In the registry since
2006
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

6810 State Route 162 Ste 105
Maryville, IL 62062-8501
Phone: (618) 288-9320
Fax: (618) 288-9258
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 036106866 (IL)

Record details

NPI number1154481364
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 11, 2006
Last updated in NPPESMarch 27, 2020
Certification dateMarch 27, 2020
Mailing address6810 State Route 162 Box 215, Maryville, IL 62062-8501

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Anderson Medical Group Llc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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