Individual provider Active NPI

Jennifer Lynn Seib, FNP

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1346796562
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2016027453 Issued in MO
Practice address
10004 Kennerly Rd
Ste. 255a
Saint Louis, MO 63128-2141
Phone
(314) 525-1538
Fax
(314) 525-1984
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016027453 MO
Nurse Practitioner 363L00000X 2016027453 MO Primary

Addresses

Primary practice location

10004 Kennerly Rd
Ste. 255a
Saint Louis, MO 63128-2141

Mailing address

639 Castle Ridge Drive
Ballwin, MO 63021
Phone (314) 307-2560

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
I20161026003038 MO Practitioner - Nurse Practitioner 4082992037 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

15945 Clayton Rd
Suite 340
Ballwin, MO 63011-2492
Phone (636) 256-5130

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Our Urgent Care, LLC CurrentSince Oct 1, 2020 Accepting new patients
Mercy Clinic East Communities CurrentSince May 26, 2024 Accepting new patients
Mercy East Ambulatory Services LLC CurrentSince Jan 15, 2021 Accepting new patients
SSM Medical Group Inc. CurrentSince Sep 9, 2017 Accepting new patients
SSM Medical Group, Inc. CurrentSince Sep 9, 2017 Accepting new patients
Our Urgent Care, LLC PastSince Dec 9, 2019 Accepting new patients

Locations

15945 Clayton Rd
Ste 340
Ballwin, MO 63011
Phone (636) 256-5130

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

2070 McKelvey Rd
Maryland Hts, MO 63043
Phone (314) 309-3562

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

10700 Manchester Rd
Ste E
Saint Louis, MO 63122
Phone (314) 428-9541

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

10012 Kennerly Rd
Ste 305
Saint Louis, MO 63128
Phone (314) 525-4325

10012 Kennerly Rd
Ste 300
Saint Louis, MO 63128
Phone (314) 842-0602

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

1615 Jungermann Rd
Saint Peters, MO 63304
Phone (636) 800-2159

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

1111 W Pearce Blvd
Wentzville, MO 63385
Phone (636) 856-5362

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1346796562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 CASTLE RIDGE DRIVE",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "63021",
            "telephone_number": "314-307-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "STE. 255A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-525-1538",
            "fax_number": "314-525-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIB",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016027453",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2016027453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.