Individual provider Active NPI

Jelena Bajer

  • Adult Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1053038448
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2022042626 Issued in MO
Practice address
12528 Big Bend Rd
Saint Louis, MO 63122-5108
Phone
(314) 583-1700
NPI assigned
Oct 26, 2022
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2022042626 MO Primary

Addresses

Primary practice location

12528 Big Bend Rd
Saint Louis, MO 63122-5108

Mailing address

13655 Riverport Dr
Maryland Heights, MO 63043-4812
Phone (314) 583-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2022042626MOMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jelena.bajer@885101451608068.direct.elationemr.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1053038448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13655 RIVERPORT DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434812",
            "telephone_number": "314-583-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12528 BIG BEND RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225108",
            "telephone_number": "314-583-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJER",
        "first_name": "JELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2022042626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.