Active NPI
Jessica Mae Goins, FNPBC
- Family Medicine Physician
- Wentzville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2021038361
- Practice address
- 1502 W Meyer Rd
Wentzville, MO 63385-3653 - Phone
- (636) 698-6266
- NPI assigned
- Mar 15, 2022
- Last updated
- Mar 15, 2022
- 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 Medicine Physician | 207Q00000X | 2021038361 | MO | Primary |
Addresses
Primary practice location
1502 W Meyer Rd
Wentzville, MO 63385-3653
Mailing address
31 Mac LN
Troy, MO 63379-4951
Phone (636) 251-0206
Other practice location 1
521 Anwijo Way
Warrenton, MO 63383-1388
Phone (636) 456-6103
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic East Communities
Practice addresses (Care Compare)
1502 W Meyer Rd
Wentzville, MO 63385-3653
Phone (636) 698-6266
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
| Mercy Clinic Heart and Vascular, LLC | Past | Accepting new patients |
Locations
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327
900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585
521 Anwijo Way
Warrenton, MO 63383
Phone (636) 239-7344
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
1502 W Meyer Rd
Wentzville, MO 63385
Phone (636) 698-6200
10 Wildcat Dr
Wright City, MO 63390
Phone (636) 791-9997
Interoperability endpoints
- jgoins1025269@directc.mercy.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1043574940
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Family Medicine
-
- Critical Access Hospital
- Troy, MO
- NPI 1962808733
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1932176401
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Troy, MO
- NPI 1962808733
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1609524917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 MAC LN",
"city": "TROY",
"state": "MO",
"postal_code": "633794951",
"telephone_number": "636-251-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 W MEYER RD",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853653",
"telephone_number": "636-698-6266"
}
],
"practiceLocations": [
{
"address_1": "521 Anwijo Way",
"address_purpose": "LOCATION",
"city": "Warrenton",
"state": "MO",
"postal_code": "633831388",
"country_code": "US",
"telephone_number": "636-456-6103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOINS",
"first_name": "JESSICA",
"middle_name": "MAE",
"credential": "FNPBC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-15",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2021038361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.