Individual provider

Shay Hietpas, PA-C

Surgical Physician Assistant Medicare enrolled

Shay Hietpas, PA-C is a Surgical Physician Assistant in Saint Louis, MO, registered under NPI 1609902063.

Getting there

The practice address on file is 1465 S GRAND BLVD, Saint Louis, MO 63104. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1465 S GRAND BLVD, Saint Louis, MO 63104 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2006038714 MO Surgical Physician Assistant primary
085.002927 IL Surgical Physician Assistant

Licences are recorded in 2 states: MO, IL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
1759481468
Enrollment ID
I20070711000047

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Illinois and Missouri. The practice address on file is in Saint Louis, MO, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

IL Illinois
Licence
085.002927
Specialty
Surgical Physician Assistant
Verify with the IL board →
MO Missouri practice address
Licence
2006038714
Specialty
Surgical Physician Assistant
Verify with the MO board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Surgical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363AS0400X Surgical Physician Assistant Surgical 2006038714 MO primary
363AS0400X Surgical Physician Assistant Surgical 085.002927 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1609902063 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 27, 2007
Last updatedFeb 9, 2021
StatusActive
Sole proprietorNo
CredentialPA-C
Practice address 1465 S GRAND BLVD
Saint Louis, MO 63104
(314) 577-5646
Fax (314) 268-6438
Mailing address 324 WESTON OAKS CT
Kirkwood, MO 63122
The last update on file is Feb 9, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1609902063 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 0 9 9 0 2 0 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 0 9 9 0 4 0 3

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1609902063?
NPI 1609902063 is the National Provider Identifier assigned to Shay Hietpas, PA-C in Saint Louis, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgical cover?
Definition to come...
How do I contact Shay Hietpas, PA-C?
The phone number on file with NPPES is (314) 577-5646, last updated Feb 9, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Shay Hietpas, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1609902063 a valid number?
Yes. 1609902063 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.