Individual provider Active NPI

Jordan Benjamin Leynes, PA, M.M.S

  • Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1295363372
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1755 S Grand Blvd
Saint Louis, MO 63104-1540
Phone
(636) 352-5416
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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 Primary

Addresses

Primary practice location

1755 S Grand Blvd
Saint Louis, MO 63104-1540

Mailing address

944 Olde Farm Rd
Troy, IL 62294-3128

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
I20210318001209 MO Practitioner - Physician Assistant 8921415951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians

Practice addresses (Care Compare)

1001 Southern Ridge LN
Lake Saint Louis, MO 63367-4000
Phone (314) 961-2255

1090 N Hwy 67 St
Florissant, MO 63031-4720
Phone (314) 961-2255

12616 Lamplighter Square Shopping
Saint Louis, MO 63128-2746
Phone (314) 961-2255

13861 Manchester Rd
Ballwin, MO 63011-4503
Phone (314) 961-2255

2138 1St Capitol Dr
Saint Charles, MO 63301-5804
Phone (314) 961-2255

3114 S Grand Blvd
Saint Louis, MO 63118-1012
Phone (314) 961-2255

4201 Hwy K
O Fallon, MO 63368-8230
Phone (314) 961-2255

4400 Telegraph Rd
Saint Louis, MO 63129-3316
Phone (314) 961-2255

8961 Page Ave
Overland, MO 63114-6104
Phone (314) 961-2255

915 N Kirkwood Rd
Kirkwood, MO 63122-2665
Phone (314) 961-2255

9538 Gravois Rd
Affton, MO 63123-4558
Phone (314) 961-2255

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

Merit-based Incentive Payment System (MIPS)

Final score
42.87 of 100Reported as group
Quality
31.86
Promoting interoperability
0
Improvement activities
40
Cost
61.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Access Urgent Care, PC CurrentSince Feb 16, 2021 Accepting new patients
Total Access Urgent Care, PC CurrentSince Feb 16, 2021 Accepting new patients

Locations

9538 Gravois Rd
Affton, MO 63123
Phone (314) 932-0817

12409 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone (314) 455-4046

2501 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 778-9989

10923 Olive Blvd
Creve Coeur, MO 63141
Phone (314) 764-2953

408 Brothers Dr
Festus, MO 63028
Phone (636) 429-0999

1090 N Highway 67 St
Florissant, MO 63031

915 N Kirkwood Rd
Kirkwood, MO 63122
Phone (314) 932-0810

1001 Southern Ridge Ln
Lake Saint Louis, MO 63367
Phone (636) 265-6230

507 S Main St
O Fallon, MO 63366
Phone (636) 409-1092

4201 Highway K
O Fallon, MO 63368

8961 Page Ave
Overland, MO 63114

2138 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 534-4498

3114 S Grand Blvd
Saint Louis, MO 63118

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

6900 Chippewa St
Saint Louis, MO 63109

1005 S Big Bend Blvd
Saint Louis, MO 63117
Phone (314) 449-8677

2060 Hampton Ave
Saint Louis, MO 63139
Phone (314) 696-2341

2980 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (636) 529-8411

4400 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 343-0056

12616 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128

600 Mid Rivers Mall Dr
Saint Peters, MO 63376
Phone (636) 224-3208

3909 Mexico Rd
Saint Peters, MO 63376
Phone (765) 569-3178

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

1890 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 887-2667

13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333

Organizations & group practices 2

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1295363372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 OLDE FARM RD",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622943128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041540",
            "telephone_number": "636-352-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYNES",
        "first_name": "JORDAN",
        "middle_name": "BENJAMIN",
        "credential": "PA, M.M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.