Individual provider Active NPI

Jennifer Lynn Knox, D.O.

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1184822801
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2007016874 Issued in MO
Practice address
9338 Olive Blvd
Suite 100
Saint Louis, MO 63132-3248
Phone
(314) 993-2400
Fax
(314) 993-5952
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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 2007016874 MO Primary

Addresses

Primary practice location

9338 Olive Blvd
Suite 100
Saint Louis, MO 63132-3248

Mailing address

9338 Olive Blvd
Suite 100
Saint Louis, MO 63132-3248
Phone (314) 993-2400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908000537 MO Practitioner - Family Practice 5496879884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Family Practice, LLCGroup PAC ID 5294769238, 9 clinicians
Aging Well Health Care, LLCGroup PAC ID 1153232038, 236 clinicians

Practice addresses (Care Compare)

5551 Winghaven Blvd
Suite 142
O Fallon, MO 63368-3618
Phone (636) 695-2510

7212 Balson Ave
Saint Louis, MO 63130-3001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2007016874MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Family Medicine CurrentSince Aug 1, 2010 Accepting new patients
Mercy Clinic East Communities Family Medicine CurrentSince Aug 1, 2010 Accepting new patients
Tri-County Family Practice, LLC Family Medicine CurrentSince Jan 10, 2025 Accepting new patients
Cardiothoracic Surgery, LLC PastSince Jan 10, 2025 Accepting new patients

Locations

17417 Chesterfield Airport Rd
Chesterfield, MO 63005
Phone (366) 857-7246

5551 Winghaven Blvd
Ste 142
O Fallon, MO 63368
Phone (636) 695-2510

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

9338 Olive Blvd
Ste 100
Saint Louis, MO 63132
Phone (314) 993-2400

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

Interoperability endpoints

  • Direct secure messaging: jknox1976@directc.mercy.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1184822801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9338 OLIVE BLVD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323248",
            "telephone_number": "314-993-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9338 OLIVE BLVD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323248",
            "telephone_number": "314-993-2400",
            "fax_number": "314-993-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2007016874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.