Individual provider Active NPI

Jessica Lea Schmaltz, APRN

  • Family Nurse Practitioner
  • Saint Charles, MO
National Provider Identifier
1619533981
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019016089 Issued in MO
Practice address
2125 Bluestone Dr
Saint Charles, MO 63303-6704
Phone
(636) 272-5856
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019016089 MO Primary

Addresses

Primary practice location

2125 Bluestone Dr
Saint Charles, MO 63303-6704

Mailing address

2125 Bluestone Drive
Suite B
Saint Charles, MO 63303
Phone (636) 688-3572

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
I20190711001783 MO Practitioner - Nurse Practitioner 9335474428 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2019016089MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince May 23, 2019 Accepting new patients

Locations

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

3002 Highway K
O Fallon, MO 63368
Phone (636) 272-5856

8021 Watson Rd
Webster Groves, MO 63119
Phone (314) 963-0398

Interoperability endpoints

  • Direct secure messaging: jessica.mancini@qm.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1619533981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 BLUESTONE DRIVE",
            "address_2": "SUITE B",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "63303",
            "telephone_number": "636-688-3572",
            "fax_number": "888-498-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 BLUESTONE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633036704",
            "telephone_number": "636-272-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMALTZ",
        "first_name": "JESSICA",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019016089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.