Individual provider Active NPI

Hayley Jurek, MSN, NP

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1356066294
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
104390979 Issued in MO
Practice address
8000 Maryland Ave Ste 760
Saint Louis, MO 63105-3752
Phone
(314) 474-0114
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 104390979 MO Primary

Addresses

Primary practice location

8000 Maryland Ave Ste 760
Saint Louis, MO 63105-3752

Mailing address

9827 Berwick PL
Saint Louis, MO 63123-4309
Phone (314) 606-7203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
104390979MOMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1356066294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9827 BERWICK PL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631234309",
            "telephone_number": "314-606-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 MARYLAND AVE STE 760",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053752",
            "telephone_number": "314-474-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUREK",
        "first_name": "HAYLEY",
        "credential": "MSN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "104390979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.