Active NPI
Jessica Pearl Mei-Jan Lucido, NP
- Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1508309717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2016012526
- Practice address
- 625 S. New Ballas Road
Suite 2015
Saint Louis, MO 63141 - Phone
- (314) 251-1100
- Fax
- (314) 251-1140
- NPI assigned
- Nov 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2012020364 | MO | |
| Nurse Practitioner | 363L00000X | 2016012526 | MO | Primary |
Addresses
Primary practice location
625 S. New Ballas Road
Suite 2015
Saint Louis, MO 63141
Mailing address
625 S. New Ballas Road
Suite 2015
Saint Louis, MO 63141
Phone (314) 251-1100
Other names 1
- Ms. Jessica Pearl Me-Jan Lau
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 S New Ballas Rd
Suite 2015
Saint Louis, MO 63141-8253
Phone (314) 251-1700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012020364 | MO | MD | Registered Nurse |
| 2016012526 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Past | Accepting new patients | |
| Saint Luke'S Physician Group Inc | Nurse Practitioner | Past | Accepting new patients |
| Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1932176401
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1528192416
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
Nurse Practitioner
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521417600000",
"number": "1508309717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S. NEW BALLAS ROAD",
"address_2": "SUITE 2015",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-251-1100",
"fax_number": "314-251-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S. NEW BALLAS ROAD",
"address_2": "SUITE 2015",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-251-1100",
"fax_number": "314-251-1140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIDO",
"first_name": "JESSICA",
"middle_name": "PEARL MEI-JAN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-21",
"last_updated": "2018-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2012020364",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2016012526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "LAU",
"middle_name": "PEARL ME-JAN",
"prefix": "MS.",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.