Individual provider Active NPI

Jeanne Marie Ritchie

  • Physician Assistant
  • Ellisville, MO
National Provider Identifier
1235477647
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
107471 Issued in MO
Practice address
225 Clarkson Rd
Ellisville, MO 63011-2278
Phone
(636) 230-5050
Fax
(636) 230-5057
NPI assigned
Jan 18, 2013
Last updated
Sep 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 107471 MO Primary

Addresses

Primary practice location

225 Clarkson Rd
Ellisville, MO 63011-2278

Mailing address

225 Clarkson Rd
Ellisville, MO 63011-2278
Phone (636) 230-5050

Other names 1

  • Jeanne Marie Jahelka Former name

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
I20130808000584 MO Practitioner - Physician Assistant 5698917383 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Saint Louis University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Family Practice, LLCGroup PAC ID 5294769238, 9 clinicians

Practice addresses (Care Compare)

17417 Chesterfield Airport Rd
Chesterfield, MO 63005-1308
Phone (636) 685-7724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic of Internal Medicine, LLC CurrentSince May 3, 2026 Accepting new patients
Cardiothoracic Surgery, LLC PastSince May 3, 2026 Accepting new patients

Locations

121 Saint Lukes Center Dr
Ste 402
Chesterfield, MO 63017
Phone (314) 205-6160

121 Saint Lukes Center Dr
Ste 506
Chesterfield, MO 63017
Phone (314) 576-8102

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1235477647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CLARKSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112278",
            "telephone_number": "636-230-5050",
            "fax_number": "636-230-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CLARKSON RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112278",
            "telephone_number": "636-230-5050",
            "fax_number": "636-230-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCHIE",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "107471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "JAHELKA",
            "middle_name": "MARIE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellisville, MO

Sources for this page

Verify at the official NPI Registry.