Active NPI
Jacqueline Hellwege Rickard, M.D.
- Family Medicine Physician
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2013010801
- Practice address
- 15740 S Outer 40 Rd
Chesterfield, MO 63017 - Phone
- (636) 735-4268
- NPI assigned
- Oct 4, 2006
- Last updated
- May 14, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2006001808 | MO | |
| Family Medicine Physician | 207Q00000X | 036-117466 | IL | |
| Family Medicine Physician | 207Q00000X | 2013010801 | MO | Primary |
| Hospitalist Physician | 208M00000X | 036-117466 | IL |
Addresses
Primary practice location
15740 S Outer 40 Rd
Chesterfield, MO 63017
Mailing address
15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone (636) 735-4268
Other practice location 1
211 S 3rd St
Belleville, IL 62220-1915
Phone (618) 234-2120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036117466 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006001808 | MO | MD | Family Medicine Physician |
| 036-117466 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
| Mercy Aco Clinical Services Inc | Hospitalist | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Dr. Petre I Anguelinin, LLC | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Family Medicine | Current | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
2708 S Rife Medical Ln
Ste T30
Rogers, AR 72758
Phone (479) 338-3999
15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 110
Rolla, MO 65401
Phone (573) 458-6300
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
621 S New Ballas Rd
Ste 399A
Saint Louis, MO 63141
Phone (314) 251-1820
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Organizations & group practices 9
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.
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- Internal Medicine Physician
- Fenton, MO
- NPI 1265538177
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Family Medicine
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
Family Medicine
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1326389404
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1336235928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15740 S OUTER 40 RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172004",
"telephone_number": "636-735-4268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15740 S OUTER 40 RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "63017",
"telephone_number": "636-735-4268"
}
],
"practiceLocations": [
{
"address_1": "211 S 3rd St",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622201915",
"country_code": "US",
"telephone_number": "618-234-2120",
"fax_number": "618-641-5806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICKARD",
"first_name": "JACQUELINE",
"middle_name": "HELLWEGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2006001808",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-117466",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2013010801",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036-117466",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036117466",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.