Individual provider Active NPI

Angela M Jones, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1437402856
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016023914 Issued in MO
Practice address
9904 Clayton Rd Ste 135
Saint Louis, MO 63124-1149
Phone
(314) 397-6805
NPI assigned
Oct 23, 2012
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016023914 MO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022044304 MO
Registered Nurse 163W00000X 151969 MO

Addresses

Primary practice location

9904 Clayton Rd Ste 135
Saint Louis, MO 63124-1149

Mailing address

9904 Clayton Rd Ste 135
Saint Louis, MO 63124-1149
Phone (314) 397-6805

Other identifiers 2

IdentifierTypeStateIssuer
2016023914OtherMOAANP
2022044304OtherMOANCC

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
I20190423001377 MO Practitioner - Nurse Practitioner 9335481340 Reassigns benefits to 1 organization

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
Open Arms Wellness LLCGroup PAC ID 5799170486, 12 clinicians

Practice addresses (Care Compare)

13975 Manchester Rd
Suite 3
Ballwin, MO 63011-4500
Phone (314) 329-4326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
151969MOMDRegistered Nurse
2022044304MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Arms Wellness LLC Multi-Specialty CurrentSince Aug 20, 2024 Accepting new patients
Open Arms Mental Health Therapy LLC Multi-Specialty CurrentSince Aug 20, 2024 Accepting new patients

Locations

13975 Manchester Rd
Ste 3
Ballwin, MO 63011
Phone (314) 329-4326

8949 Manchester Rd
Saint Louis, MO 63144
Phone (314) 329-4326

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

NPI Registry JSON

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1437402856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9904 CLAYTON RD STE 135",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241149",
            "telephone_number": "314-397-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9904 CLAYTON RD STE 135",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241149",
            "telephone_number": "314-397-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016023914",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2022044304",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "151969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "2016023914",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2022044304",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.