Individual provider Active NPI

Jennifer Ann Staggs, FNP-BC

  • Family Nurse Practitioner
  • Wentzville, MO
National Provider Identifier
1447766233
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017041083 Issued in MO
Practice address
1021 Wentzville Pkwy
Wentzville, MO 63385-3437
Phone
(636) 294-5900
NPI assigned
Dec 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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 2017041083 MO Primary

Addresses

Primary practice location

1021 Wentzville Pkwy
Wentzville, MO 63385-3437

Mailing address

31678 N Stringtown Rd
Foristell, MO 63348-3086
Phone (314) 707-4596

Other practice location 1

31678 N Stringtown Rd
Foristell, MO 63348-3086
Phone (314) 707-4596

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jstaggs13328@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Direct

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
I20180405000107 MO Practitioner - Nurse Practitioner 1254694219 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians
Mercy Aco Clinical Services IncGroup PAC ID 6901188572, 159 clinicians

Practice addresses (Care Compare)

1120 Shackelford Rd
Florissant, MO 63031-4369
Phone (314) 830-5805

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone (636) 237-4200

Hospital & facility affiliations

  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017041083MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Feb 28, 2018 Accepting new patients
Mercy Aco Clinical Services Inc CurrentSince Jun 3, 2024 Accepting new patients
SSM Health Care St. Louis CurrentSince Feb 28, 2018 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1296 Jeffco Blvd
Arnold, MO 63010
Phone (636) 321-8600

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

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1120 Shackelford Rd
Florissant, MO 63031
Phone (314) 830-5805

2022 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 520-0520

1475 Kisker Rd
Ste 120
Saint Charles, MO 63304
Phone (636) 498-7400

711 Veterans Memorial Pkwy
Saint Charles, MO 63303
Phone (636) 669-2200

1475 Kisker Rd
Saint Charles, MO 63304
Phone (636) 498-7400

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

2341 S Brentwood Blvd
Saint Louis, MO 63144
Phone (314) 731-6265

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

1601 Wentzville Pkwy
Ste 130
Wentzville, MO 63385
Phone (636) 332-8455

Interoperability endpoints

  • Direct secure messaging: jstaggs13328@direct-ehr-ssmhc.com

Organizations & group practices 3

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 3

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": "1513382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1447766233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31678 N STRINGTOWN RD",
            "city": "FORISTELL",
            "state": "MO",
            "postal_code": "633483086",
            "telephone_number": "314-707-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 WENTZVILLE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853437",
            "telephone_number": "636-294-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31678 N Stringtown Rd",
            "address_purpose": "LOCATION",
            "city": "Foristell",
            "state": "MO",
            "postal_code": "633483086",
            "country_code": "US",
            "telephone_number": "314-707-4596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAGGS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-16",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017041083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstaggs13328@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jstaggs13328@direct-ehr-ssmhc.com",
            "address_1": "1475 Kisker Rd",
            "city": "Saint Charles",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633048781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1475 Kisker Rd",
            "city": "Saint Charles",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633048781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

Verify at the official NPI Registry.