Individual provider Active NPI

Jennifer A Allen, M.D.

  • Family Medicine Physician
  • Hermann, MO
National Provider Identifier
1164547485
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2015035130 Issued in MO
Practice address
127 E 4TH St
Hermann, MO 65041-1129
Phone
(573) 271-2927
Fax
(573) 486-3533
NPI assigned
Mar 20, 2007
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2015035130 MO Primary

Addresses

Primary practice location

127 E 4TH St
Hermann, MO 65041-1129

Mailing address

127 E 4TH St
Hermann, MO 65041-1129
Phone (573) 271-2927

Other practice location 1

1380 High St Ste 1
Washington, MO 63090-4396
Phone (573) 271-2927

Other practice location 2

1074 Bryan Rd
O Fallon, MO 63366-3400
Phone (573) 271-2927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2017 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015035130MOMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1164547485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E 4TH ST",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650411129",
            "telephone_number": "573-271-2927",
            "fax_number": "573-271-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E 4TH ST",
            "city": "HERMANN",
            "state": "MO",
            "postal_code": "650411129",
            "telephone_number": "573-271-2927",
            "fax_number": "573-486-3533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 High St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630904396",
            "country_code": "US",
            "telephone_number": "573-271-2927",
            "fax_number": "573-271-2928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1074 Bryan Rd",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633663400",
            "country_code": "US",
            "telephone_number": "573-271-2927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2015035130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermann, MO

Sources for this page

Verify at the official NPI Registry.