Active NPI
Jessica Joann Stewart, FNP-C
- Family Nurse Practitioner
- Edwardsville, IL
National Provider Identifier
1497280119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2017002551
- Practice address
- 108 Gateway Commerce Center Dr N
Edwardsville, IL 62025-2818 - Phone
- (618) 219-7470
- Fax
- (618) 219-7469
- NPI assigned
- May 1, 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 | 2017002551 | MO | Primary |
Addresses
Primary practice location
108 Gateway Commerce Center Dr N
Edwardsville, IL 62025-2818
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Phone (618) 219-7470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017002551 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1497280119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776084",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776084",
"telephone_number": "618-219-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 GATEWAY COMMERCE CENTER DR N",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620252818",
"telephone_number": "618-219-7470",
"fax_number": "618-219-7469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JESSICA",
"middle_name": "JOANN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-01",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2017002551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edwardsville, IL
- Kristin Michelle Stahlheber, DVM
- Nicole Lynne Stankevitz
- Step by Step Speech Language Therapy L.L.C
- Steven J Hyten PC (Edwardsville Oral Surgery and Implant Center)
- Stevens-Howell Venture LLC (Howell Health Mart Pharmacy)
- Joyce A Stewart, LCSW
- Shelbi Stewart
- STL Mobile Health Care LLC
- Taylor Stonecypher, RN
- Joshua Stout
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.