Active NPI
Jennifer Ann Staggs, FNP-BC
- Family Nurse Practitioner
- Wentzville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2017041083
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017041083 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St Louis | Current | Accepting new patients | |
| Mercy Aco Clinical Services Inc | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | 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
- 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.
-
- Neurology Physician
- Chesterfield, MO
- NPI 1063965093
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1376598599
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
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
- St Peters Bone & Joint Surgery Inc.
- St. Charles County Orthodonctics West
- St. Charles Sports&Physical Therapy, Inc.
- St. Charles West Psychological
- St. Joseph'S Health Center Women'S and Children'S Services Clinic
- Tabbatha Stanton, LPC
- Kathryn C Steinmann, CNP
- Jacqueline Claire Steinrauf
- Terry Stephens, PMHNP
- Susan Elizabeth Stevenson Moore, MSW LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.