Individual provider Active NPI

Jennifer Sophia Telmer, CPNP-PC

  • Pediatric Nurse Practitioner
  • Saint Peters, MO
National Provider Identifier
1144985102
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2021040201 Issued in MO
Practice address
30 Buckland CT
Saint Peters, MO 63376-7631
Phone
(314) 616-9145
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2021040201 MO Primary

Addresses

Primary practice location

30 Buckland CT
Saint Peters, MO 63376-7631

Mailing address

30 Buckland CT
Saint Peters, MO 63376-7631
Phone (314) 616-9145

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220209002431 MO Order and Referring Only - Nurse Practitioner 6608269923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St. Louis Past Accepting new patients
SSM Depaul Medical Group, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jtelmer445931@direct-ehr-ssmhc.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1144985102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BUCKLAND CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767631",
            "telephone_number": "314-616-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BUCKLAND CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767631",
            "telephone_number": "314-616-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELMER",
        "first_name": "JENNIFER",
        "middle_name": "SOPHIA",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2021040201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.