Individual provider Active NPI

Nancy Jane Jasper, FNP-C

  • Nurse Practitioner
  • Arnold, MO
National Provider Identifier
1609246552
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2015037187 Issued in MO
Practice address
3619 Richardson Square Dr
Arnold, MO 63010-6022
Phone
(636) 717-6700
Fax
(636) 464-6755
NPI assigned
Oct 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F09151382 MO
Nurse Practitioner 363L00000X 2015037187 MO Primary

Addresses

Primary practice location

3619 Richardson Square Dr
Arnold, MO 63010-6022

Mailing address

3619 Richardson Square Dr
Arnold, MO 63010-6022
Phone (636) 717-6700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229001014 MO Practitioner - Nurse Practitioner 0840595856 Reassigns benefits to 7 organizations

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
Total Access Urgent Care PC 130 clinicians

Practice addresses (Care Compare)

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015037187MOMDNurse Practitioner
F09151382MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America, LLC Current Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Nurse Practitioner CurrentSince Aug 1, 2024 Accepting new patients
Total Access Urgent Care, PC CurrentSince Oct 24, 2024 Accepting new patients
SSM Health Care St Louis CurrentSince Dec 18, 2015 Accepting new patients
Mercy Hospital South CurrentSince Aug 25, 2019 Accepting new patients
Cep America LLC CurrentSince Mar 1, 2016 Accepting new patients
Mercy Clinic East Communities CurrentSince Dec 1, 2020 Accepting new patients
Mercy Hospital South CurrentSince Aug 25, 2019 Accepting new patients
Cep America LLC CurrentSince Mar 1, 2016 Accepting new patients
Total Access Urgent Care, PC CurrentSince Oct 24, 2024 Accepting new patients
Southeastern Emergency Services of Memphis, P.C. Nurse Practitioner CurrentSince Nov 16, 2016 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

3619 Richardson Square Dr
Arnold, MO 63010
Phone (636) 461-1414

1296 Jeffco Blvd
Ste B
Arnold, MO 63010
Phone (636) 321-8600

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1500 Calvary Church Rd
Ste B
Crystal Cty, MO 63028
Phone (636) 266-7946

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

714 Gravois Rd
Ste 100
Fenton, MO 63026
Phone (636) 326-6100

1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268

1551 Wall St
Ste 400
Saint Charles, MO 63303
Phone (636) 462-6106

4280 Mid America Ln
Ste 30
Saint Louis, MO 63129
Phone (314) 782-2600

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1609246552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 RICHARDSON SQUARE DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106022",
            "telephone_number": "636-717-6700",
            "fax_number": "636-464-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 RICHARDSON SQUARE DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106022",
            "telephone_number": "636-717-6700",
            "fax_number": "636-464-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPER",
        "first_name": "NANCY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F09151382",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2015037187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

Verify at the official NPI Registry.