Active NPI
Sarah Marie Jackson, DO
- Family Medicine Physician
- O Fallon, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2025040108
- Practice address
- 300 Winding Woods Dr Ste 120
O Fallon, MO 63366-4772 - Phone
- (636) 614-3280
- Fax
- (636) 272-3680
- NPI assigned
- Jun 5, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2025040108 | MO | Primary |
Addresses
Primary practice location
300 Winding Woods Dr Ste 120
O Fallon, MO 63366-4772
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic East Communities
Practice addresses (Care Compare)
300 Winding Woods Dr
Suite 214
O Fallon, MO 63366-4773
Phone (636) 614-3280
7212 Balson Ave
Saint Louis, MO 63130-3001
Hospital & facility affiliations
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025040108 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Single Specialty | Current | Accepting new patients |
| Mercy Clinic East Communities | Single Specialty | Current | Accepting new patients |
Locations
300 Winding Woods Dr
Ste 120
O Fallon, MO 63366
Phone (636) 614-3280
300 Winding Woods Dr
Ste 214
O Fallon, MO 63366
Phone (636) 281-1705
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1043574940
Single Specialty
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Single Specialty
-
- Home Health Agency
- Saint Louis, MO
- NPI 1215936588
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1134858392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776084",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WINDING WOODS DR STE 120",
"city": "O FALLON",
"state": "MO",
"postal_code": "633664772",
"telephone_number": "636-614-3280",
"fax_number": "636-272-3680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "SARAH",
"middle_name": "MARIE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-05",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MO",
"license": "2025040108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.