Individual provider Active NPI

Jaina Vallarta, RN, MSN, APRN-BC

  • Nurse Practitioner
  • Bridgeton, MO
National Provider Identifier
1497851448
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2024025455 Issued in MO
Practice address
12266 De Paul Dr Ste 205
Bridgeton, MO 63044-2514
Phone
(314) 218-2300
NPI assigned
Sep 16, 2006
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2024025455 MO Primary
Acute Care Nurse Practitioner 363LA2100X 2024025455 MO
Acute Care Nurse Practitioner 363LA2100X 26NJ00044400 NJ

Addresses

Primary practice location

12266 De Paul Dr Ste 205
Bridgeton, MO 63044-2514

Mailing address

PO Box 955534
Saint Louis, MO 63195-5534

Other practice location 1

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone (636) 735-4750

Other practice location 2

1475 Kisker Rd Ste 200
Saint Charles, MO 63304-8788
Phone (636) 498-5810

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address jvallarta551903@direct-ehr-ssmhc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, MO, FL, OK, WA, OH, KY, CO, AR, CT, MA, PA13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20041101000135 NJ Practitioner - Nurse Practitioner 3577525708 Reassigns benefits to 6 organizations
I20240213001316 NY Practitioner - Nurse Practitioner 3577525708 Reassigns benefits to 1 organization
I20241204002623 MO Practitioner - Nurse Practitioner 3577525708 Reassigns benefits to 7 organizations
I20250606000063 FL Practitioner - Nurse Practitioner 3577525708 Reassigns benefits to 1 organization
I20250609003539 OK Practitioner - Nurse Practitioner 3577525708 Reassigns benefits to 1 organization
I20250612001465 WA Practitioner - Nurse Practitioner 3577525708 Reassigns benefits to 1 organization
I20250619000783 OH Practitioner - Nurse Practitioner 3577525708 Reassigns benefits to 2 organizations
I20250626000474 KY Practitioner - Nurse Practitioner 3577525708 Reassigns benefits to 2 organizations
I20250626000793 CO Practitioner - Nurse Practitioner 3577525708 Reassigns benefits to 1 organization
I20250626002639 AR Practitioner - Nurse Practitioner 3577525708 Reassigns benefits to 1 organization
I20250711001061 CT Practitioner - Nurse Practitioner 3577525708 Reassigns benefits to 2 organizations
I20250729001357 MA Practitioner - Nurse Practitioner 3577525708 Reassigns benefits to 2 organizations
I20251213000025 PA Practitioner - Nurse Practitioner 3577525708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kible Health PAGroup PAC ID 0941722474, 21 clinicians
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

Somerville, MA 02144
Phone (646) 396-0527

Sandy Hook, CT 06482
Phone (646) 396-0527

Toms River, NJ 08753
Phone (646) 396-0527

Louisville, KY 40202
Phone (646) 396-0527

Chesterfield, MO 63005
Phone (646) 396-0527

Bentonville, AR 72712
Phone (646) 396-0527

Tulsa, OK 74133
Phone (646) 396-0527

Wheat Ridge, CO 80033
Phone (646) 396-0527

Seattle, WA 98104
Phone (646) 396-0527

1475 Kisker Rd
Suite 200
Saint Charles, MO 63304-8788
Phone (636) 498-5850

450 Rockefeller Dr
New Smyrna Beach, FL 32168-8937
Phone (646) 396-0527

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
2024025455MOMDAcute Care Nurse Practitioner
26NJ00044400NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Health Specialists, LLC CurrentSince Feb 23, 2026 Accepting new patients
Southeastern Physician Services PC Nurse Practitioner CurrentSince Apr 11, 2025 Accepting new patients
Understood Care NJ, P.a. CurrentSince Jul 9, 2025 Accepting new patients
Advanced Cardiovascular Interventions, PA CurrentSince Aug 13, 2018 Accepting new patients
Chesterfield Cardiology Care, LLC CurrentSince Feb 23, 2026 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 26, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jul 26, 2023 Accepting new patients
Heart Care Specialists, LLC CurrentSince Feb 23, 2026 Accepting new patients
Cardiac Specialists of St Luke's, LLC CurrentSince Feb 23, 2026 Accepting new patients
Matrix Medical Plus Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
SSM Medical Group Inc. CurrentSince Jun 30, 2025 Accepting new patients
Internal Medicine of Morris County LLC CurrentSince Jun 20, 2023 Accepting new patients
Kible Health, P.a. CurrentSince Apr 28, 2025 Accepting new patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Matrix Medical of New York PC Nurse Practitioner CurrentSince Jan 8, 2026 Accepting new patients
Livingston Hospital Physicians, P.a. CurrentSince Dec 17, 2023 Accepting new patients
SSM Medical Group, Inc. CurrentSince Jun 30, 2025 Accepting new patients
St. Lukes Medical Group PastSince Feb 23, 2026 Accepting new patients
University Hospital Past Accepting new patients
University Hospital Acute Care PastSince May 1, 2008 Accepting new patients

Locations (25 of 45)

1202 NE McClain Rd
Bentonville, AR 72712
Phone (479) 278-4323

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

4251 Kipling St
Unit 230
Wheat Ridge, CO 80033
Phone (720) 296-5853

1224 Mill St
Bldg B
East Berlin, CT 06023
Phone (860) 406-4894

27 Glen Rd
Ste 301
Sandy Hook, CT 06482

390 NE 191st St
Ste 8885
Miami, FL 33179
Phone (646) 296-0527

110 E Wayne St
Fl 12
Fort Wayne, IN 46802
Phone (260) 409-8432

312 S 4th St
Louisville, KY 40202
Phone (502) 213-5590

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

3 Allied Dr
Dedham, MA 02026
Phone (404) 587-0945

240 Elm St
Fl 2
Somerville, MA 02144
Phone (617) 339-9070

12266 De Paul Dr
Ste 205
Bridgeton, MO 63044
Phone (314) 218-2300

100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585

100 Chesterfield Mall
Fl 2
Chesterfield, MO 63017

121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278

121 Saint Lukes Center Dr
Ste 303
Chesterfield, MO 63017
Phone (314) 434-3278

222 S Woods Mill Rd
Ste 500N
Chesterfield, MO 63017
Phone (314) 205-6699

222 S Woods Mill Rd
Ste 560
Chesterfield, MO 63017
Phone (314) 485-8788

1475 Kisker Rd
Ste 200
Saint Charles, MO 63304
Phone (636) 498-5800

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

450 N New Ballas Rd
Ste 270
Saint Louis, MO 63141
Phone (314) 989-1300

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

25 Pocono Rd
Denville, NJ 07834
Phone (273) 625-6000

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

363 Prospect Ave
Hackensack, NJ 07601
Phone (201) 265-5700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: jvallarta551903@direct-ehr-ssmhc.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1497851448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12266 DE PAUL DR STE 205",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442514",
            "telephone_number": "314-218-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15740 S Outer 40 Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630172004",
            "country_code": "US",
            "telephone_number": "636-735-4750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 Kisker Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633048788",
            "country_code": "US",
            "telephone_number": "636-498-5810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLARTA",
        "first_name": "JAINA",
        "credential": "RN, MSN, APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2024025455",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2024025455",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00044400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "12266 De Paul Dr Ste 205",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630442514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvallarta551903@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jvallarta551903@direct-ehr-ssmhc.com",
            "address_1": "12266 De Paul Dr Ste 205",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630442514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.