Individual provider Active NPI

Jessica Sarah Ludwig, FNP-BC

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1407125370
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2011039396 Issued in MO
Practice address
408 S Broadview St
Cape Girardeau, MO 63703-5725
Phone
(573) 332-0808
Fax
(573) 339-7945
NPI assigned
Dec 22, 2011
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2011039396 MO Primary

Addresses

Primary practice location

408 S Broadview St
Cape Girardeau, MO 63703-5725

Mailing address

408 S Broadview St
Cape Girardeau, MO 63703-5725
Phone (573) 332-0808

Other names 1

  • Jessica Sarah Suhre Former name

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
I20131018001653 MO Practitioner - Nurse Practitioner 4284869678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cross Trails Medical CenterGroup PAC ID 8820902851, 9 clinicians

Practice addresses (Care Compare)

408 S Broadview St
Cape Girardeau, MO 63703-5725
Phone (573) 332-0808

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011039396MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Trails Medical Center CurrentSince Jan 2, 2024 Accepting new patients
Cross Trails Medical Center CurrentSince Jan 2, 2024 Accepting new patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Jul 6, 2013 Accepting new patients
Cross Trails Medical Center Past Accepting new patients

Locations

307 W Gabriel St
Advance, MO 63730
Phone (573) 332-0808

2430 Golden St
Cape Girardeau, MO 63703
Phone (573) 332-0808

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

408 S Broadview St
Cpe Girardeau, MO 63703
Phone (573) 332-0808

109 State Highway 51 N
Marble Hill, MO 63764
Phone (573) 238-1110

1314 Brenda Ave
Perryville, MO 63775
Phone (573) 332-0808

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1407125370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035725",
            "telephone_number": "573-332-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035725",
            "telephone_number": "573-332-0808",
            "fax_number": "573-339-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "JESSICA",
        "middle_name": "SARAH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011039396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SUHRE",
            "middle_name": "SARAH",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.