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

Matthew Dale Tieskoetter, APRN

Individual provider Adult Health Nurse Practitioner · NPI 1508482506

Matthew Dale Tieskoetter, APRN is a Nurse Practitioner in Bridgeton, Missouri. Qualified in 2018, 8 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12349 De Paul Dr Ste 100
Bridgeton, MO 63044-2512
Phone: (314) 291-7900
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 — (314) 909-1666

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2020003584 (MO)

Record details

NPI number1508482506
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 25, 2020
Last updated in NPPESOctober 17, 2022
Certification dateOctober 17, 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 Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients383
Services billed 799 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Ssm Health Depaul Hospital St Louis Hospital · Bridgeton, MO

Also affiliated with 1 inpatient rehabilitation facility, which CMS identifies by certification number only.

Colleagues at SSM Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 560 clinicians in the practice; 12 are shown here.

Other providers in Bridgeton