Active NPI
Jeanne Marie Ritchie
- Physician Assistant
- Ellisville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 107471
- 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, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- Physician Assistant
- Education
- Saint Louis University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinic of Internal Medicine, LLC | Current | Accepting new patients | |
| Cardiothoracic Surgery, LLC | Past | 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.
-
- Family Medicine Physician
- O'Fallon, MO
- NPI 1285720169
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1316053077
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1992816391
-
- Family Medicine Physician
- Creve Coeur, MO
- NPI 1801146766
-
- Family Medicine Physician
- Fenton, MO
- NPI 1679939128
-
- Family Medicine Physician
- Ellisville, MO
- NPI 1114957354
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chesterfield, MO
- NPI 1104895812
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.