Jacqueline E. Marstall, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2003004587 Issued in MO

Practice address

2175 Charbonier Rd
Florissant, MO 63031-5566

Phone

(314) 831-5999

Fax

(314) 831-9434

NPI assigned

May 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gateway Pain Center IncGroup PAC ID 3577516277, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Gateway Pain Center Inc

  • Pain Medicine (Anesthesiology) Physician
  • Frontenac, MO
  • NPI 1568475689
  Medicare reassignment Care Compare group
• Patterson Medical Clinic Inc

  • Family Medicine Physician
  • Florissant, MO
  • NPI 1639352545
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Lukes Episcopal-Presbyterian Hospital

  • General Acute Care Hospital
  • Chesterfield, MO
  • NPI 1346251543
  Care Compare affiliation

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1457527343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HOMEFIELD RIDGE CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664757",
            "telephone_number": "636-240-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 CHARBONIER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315566",
            "telephone_number": "314-831-5999",
            "fax_number": "314-831-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSTALL",
        "first_name": "JACQUELINE",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2003004587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mann Dental LLC
• Manor Care of Florissant Mo LLC
• Mark F. Hilton, DDS, PC
• Francoise Markus, DDS
• Fred Markus, DDS
• Trevor Martin
• Kasey Martindale
• Lauren Michelle Martinez, MSW, LCSW, RPT
• Tara L. Maryas, C.O.A.
• Marygrove

• Physician Assistant in Florissant, MO
• Providers in Florissant, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.

Verify at the official NPI Registry.