Jessica Elizabeth Niehoff, R.N., A.N.P

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

151590 Issued in MO

Practice address

104 Sarah Ann Blvd
Troy, MO 63379-2038

Phone

(636) 528-5281

Fax

(636) 528-8471

NPI assigned

Jun 4, 2006

Last updated

Jul 10, 2008By the provider in NPPES

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

Other names 1

• Miss Jessica Elizabeth Wortmann Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• SSM Medical Group, Inc.

  dba SSM Health Medical Group

  • Multi-Specialty Clinic/Center
  • Fenton, MO
  • NPI 1700966207
  Medicare reassignment NPD

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1467490870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 N MOORE SCHOOL RD",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633794415",
            "telephone_number": "636-528-5281",
            "fax_number": "636-528-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SARAH ANN BLVD",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792038",
            "telephone_number": "636-528-5281",
            "fax_number": "636-528-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEHOFF",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "R.N., A.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "151590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WORTMANN",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• N&S Medical Supply Inc.
• Heather Marie Neal, OTD
• Michele L. Neblock, M.D.
• Natalie Neporadny
• Erin Nicole Niehoff, O.D.
• Kayleigh Nissle
• Nitelife LLC (Janice Hoffmeyer)
• Carly Nivison, LPC
• Amanda Kay Noah, FNP-BC
• Northland Hearing Centers, Inc. (Southwestern Hearing Center)

• Adult Health Nurse Practitioner in Troy, MO
• Providers in Troy, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.