Individual provider Active NPI

Jennifer Jo Becker, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Festus, MO
National Provider Identifier
1194221200
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2017036480 Issued in MO
Practice address
1275 N Truman Blvd
Festus, MO 63028-1176
Phone
(844) 853-8937
NPI assigned
Apr 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2013029142 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2017036480 MO Primary

Addresses

Primary practice location

1275 N Truman Blvd
Festus, MO 63028-1176

Mailing address

1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131

Other identifiers 1

IdentifierTypeStateIssuer
420066013MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL psychservices@providentstl.org Health Information Exchange (HIE)

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
I20190205000280 MO Practitioner - Nurse Practitioner 5890033591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Health IncGroup PAC ID 1951206754, 317 clinicians

Practice addresses (Care Compare)

1800 Community
Clinton, MO 64735-8804
Phone (888) 403-1071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013029142MOMDRegistered Nurse
2021036669MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provident Inc. Psychiatric/Mental Health CurrentSince Nov 9, 2022 Accepting new patients
Compass Health, Inc CurrentSince Aug 12, 2024 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Feb 1, 2019 Accepting new patients
Compass Health, Inc CurrentSince Aug 12, 2024 Accepting new patients
Shalimar Corp. D/B/a Parkwood Manor Past Accepting new patients

Locations

1800 Community
#B
Clinton, MO 64735

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

110 N Mill St
Festus, MO 63028

1275 N Truman Blvd
Festus, MO 63028
Phone (636) 937-4686

1811 Gravois Rd
High Ridge, MO 63049

1817 Gravois Rd
High Ridge, MO 63049
Phone (636) 376-0079

2650 Olive St
Saint Louis, MO 63103
Phone (314) 371-6500

753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782

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.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1194221200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N TRUMAN BLVD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281176",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JENNIFER",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2013029142",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2017036480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420066013",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "psychservices@providentstl.org",
            "affiliation": "N",
            "endpointDescription": "messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "messaging",
            "address_1": "2650 Olive St",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631031489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.