Individual provider Active NPI

Jennifer L Shashek, M.D.

  • Psychiatry Physician
  • Saint Peters, MO
National Provider Identifier
1285689471
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2002010266 Issued in MO
Practice address
2730 S Saint Peters Pkwy Ste 106
Saint Peters, MO 63303-5677
Phone
(636) 248-6294
Fax
(636) 317-1080
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036114757 IL
Psychiatry Physician 2084P0800X 2002010266 MO Primary

Addresses

Primary practice location

2730 S Saint Peters Pkwy Ste 106
Saint Peters, MO 63303-5677

Mailing address

2730 S Saint Peters Pkwy Ste 106
Saint Peters, MO 63303-5677
Phone (636) 248-6294

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080614000038 MO Practitioner - Psychiatry 6305840489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Saint Louis University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2730 S Saint Peters Pkwy
Suite 106
Saint Peters, MO 63303-5677
Phone (636) 248-6294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036114757ILMDPsychiatry Physician
2002010266MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Shashek, M.D., LLC Psychiatry CurrentSince Apr 1, 2014 Accepting new patients
Psychiatric Urgent Care LLC PastSince Oct 2, 2022 Accepting new patients
Coastal Laboratories, Mo PastSince Apr 1, 2014 Accepting new patients
Psychiatric Center of Creve Coeur,LTD. Past Accepting new patients

Locations

2730 S Saint Peters Pkwy
Ste 106
Saint Peters, MO 63303
Phone (636) 248-6294

1600 Heritage Lndg
Ste 201
Saint Peters, MO 63303
Phone (636) 219-5432

Organizations & group practices 4

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1285689471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 S SAINT PETERS PKWY STE 106",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633035677",
            "telephone_number": "636-248-6294",
            "fax_number": "636-477-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S SAINT PETERS PKWY STE 106",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633035677",
            "telephone_number": "636-248-6294",
            "fax_number": "636-317-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHASHEK",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036114757",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2002010266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.