Active NPI
Jenny L Wiemann, D.C.
- Chiropractor
- St Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CE006000
- Practice address
- 331A Jungermann Rd
St Peters, MO 63376-5351 - Phone
- (636) 928-5588
- Fax
- (636) 922-0071
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CE006000 | MO | Primary |
Addresses
Primary practice location
331A Jungermann Rd
St Peters, MO 63376-5351
Mailing address
331A Jungermann Rd
St Peters, MO 63376-5351
Phone (636) 928-5588
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4319076 | Other | MO | AETNA |
| P00115373 | Other | MO | RAILROAD MEDICARE |
| 3560 | Other | MO | BLUE CROSS BLUE SHIELD |
| 431738059CRO | Other | MO | MERCY |
| 612612 | Other | MO | ACN |
| 178092 | Other | MO | HEALTHLINK |
| 52473 | Other | MO | GHP |
| 4407107 | Other | MO | UHC |
Other names 1
- Jenny L Crosby
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1991
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
331 Jungermann Rd
Suite a
Saint Peters, MO 63376-5351
Phone (636) 928-5588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CE006000 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenny L Wiemann DCPC | Chiropractor | Current | Accepting new patients |
Locations
331 Jungermann Rd
Saint Peters, MO 63376
Phone (636) 928-5588
331 Jungermann Rd
Ste A
Saint Peters, MO 63376
Phone (636) 928-5588
331 Jungermann Rd
#A
Saint Peters, MO 63376
Phone (636) 928-5588
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Saint Peters, MO
- NPI 1245452093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1093741407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331A JUNGERMANN RD",
"city": "ST PETERS",
"state": "MO",
"postal_code": "633765351",
"telephone_number": "636-928-5588",
"fax_number": "636-922-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331A JUNGERMANN RD",
"city": "ST PETERS",
"state": "MO",
"postal_code": "633765351",
"telephone_number": "636-928-5588",
"fax_number": "636-922-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEMANN",
"first_name": "JENNY",
"middle_name": "L",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "CE006000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4319076",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00115373",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3560",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "431738059CRO",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "612612",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "178092",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "52473",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "4407107",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNY",
"last_name": "CROSBY",
"middle_name": "L",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in St Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.