Active NPI
Jennifer Jo Becker, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Festus, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2017036480
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420066013 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2013029142 | MO | MD | Registered Nurse |
| 2021036669 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provident Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Compass Health, Inc | Current | Accepting new patients | |
| Ste Genevieve County Memorial Hospital | Current | Accepting new patients | |
| Compass Health, Inc | Current | 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.
-
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
-
- Rural Health Clinic/Center
- Ste Genevieve, MO
- NPI 1801817416
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
-
- Assisted Living Facility (Mental Illness)
- Cape Girardeau, MO
- NPI 1760457683
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.