Active NPI
Jill Malen, MS NS APN
- Adult Health Clinical Nurse Specialist
- St Louis, MO
National Provider Identifier
1275691461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 27167905
- Practice address
- 621 South New Ballas Road
St 483a
St Louis, MO 63141 - Phone
- (314) 251-4966
- Fax
- (314) 251-4588
- NPI assigned
- Dec 4, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | 27167905 | MO | Primary |
Addresses
Primary practice location
621 South New Ballas Road
St 483a
St Louis, MO 63141
Mailing address
16 Quailways Drive
St Louis, MO 63141
Phone (314) 993-3699
Other names 1
- Jill Feldman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27167905 | MO | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Pulmonology - St. Louis, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pulmonary Disease Physician
- Saint Louis, MO
- NPI 1821137886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275691461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 QUAILWAYS DRIVE",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-993-3699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 SOUTH NEW BALLAS ROAD",
"address_2": "ST 483A",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-251-4966",
"fax_number": "314-251-4588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEN",
"first_name": "JILL",
"name_prefix": "Mrs.",
"credential": "MS NS APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "MO",
"license": "27167905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "FELDMAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.