Jennifer Bryant
Individual provider Active NPI Family Nurse Practitioner · Troy, MO
NPI 1043729189 · NPPES record last updated Aug 11, 2023
Key facts
- NPI
- 1043729189
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2021034486 (MO)
- Practice address
- 1165 E Cherry St
Troy, MO 63379-1520 - Phone
- (636) 528-1919
- NPI assigned
- Sep 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Hospital Lincoln
Practice addresses (Care Compare)
1165 E Cherry St
Troy, MO 63379-1520
Phone (636) 528-7722
900 E Cherry St
Troy, MO 63379-1429
Phone (636) 528-8585
Hospital & facility affiliations
- Mercy Hospital Lincoln
- Mercy Hospital St Louis
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171024000817 | IL | Practitioner - Nurse Practitioner | 7113293945 | |
| I20220316003331 | MO | Practitioner - Nurse Practitioner | 7113293945 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Lincoln | Current |
Accepting new patients | |
| Mercy Hospital Lincoln | Current |
Accepting new patients | |
| Greenville Family Medicine, LLC | Current |
Accepting new patients | |
| Greenville Family Medicine, LLC | Current |
Accepting new patients |
Locations
1000 Red Ball Trl
Greenville, IL 62246
Phone (618) 391-6495
1165 E Cherry St
Troy, MO 63379
Phone (636) 528-1919
900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ECDGDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2021034486 | MO | Yes |
Addresses
Primary practice location
1165 E Cherry St
Troy, MO 63379-1520
Mailing address
1165 E Cherry St
Troy, MO 63379-1520
Phone (636) 528-1919
Other providers in Troy, MO
- James Lee Bockhorst
- Kelsey Bockman
- Sally Ann Breen
- Kyla Broeker Witt
- Zachary Taylor Brown
- Kaitlyn Burkemper
- Cathleen Burks
- John Martin Carmody
- McKenna Carpenter
- Carter Family Chiropractic
All providers in Troy, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.