Jessica Jane Struckhoff, AGPNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

2019041583 Issued in MO

Practice address

408 Jungermann Rd
Saint Peters, MO 63376-2799

Phone

(636) 449-5757

Fax

(636) 449-5750

NPI assigned

Jan 29, 2020

Last updated

Sep 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, MO2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment
• Soldiers & Sailors Memorial Hospital

  dba Soldiers & Sailors Memorial Hospital Hospitalist

  • Emergency Medicine Physician
  • Penn Yan, NY
  • NPI 1043353618
  NPD

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1639700560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 SAINT STEPHEN LN",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011454",
            "telephone_number": "573-424-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 JUNGERMANN RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762799",
            "telephone_number": "636-449-5757",
            "fax_number": "636-449-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 Frank Scott Pkwy W Ste 716",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622235007",
            "country_code": "US",
            "telephone_number": "618-355-0880",
            "fax_number": "618-355-0881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRUCKHOFF",
        "first_name": "JESSICA",
        "middle_name": "JANE",
        "credential": "AGPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2013003356",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.020381041.465207",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2019041583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Miller Strode, OTR/L
• Caitlin Strohm
• Alicia Ruth Strong, SLP
• Cheryl Lynn Stroud, MSW, LCSW
• Heather Struble, R.PH.
• Brian W. Stufflebam, M.D.
• Joseph Robert Sturges, D.C.
• James M. Sturm, DO
• Subbarao Polineni, M.D. PC (Subbarao Polineni, M.D)
• Julie L Subbert, R.N.

• Primary Care Nurse Practitioner in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Primary Care Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.