NPIMap

Individual provider Active NPI

Jamie Marie Moravec, PA-C

  • Physician Assistant
  • O'Fallon, MO
National Provider Identifier
1659630648
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2012015985 Issued in MO
Practice address
20 Progress Point Pkwy Ste 202
O Fallon, MO 63368-2207
Phone
(636) 216-8372
Fax
(314) 741-5102
NPI assigned
May 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2012015985 MO Primary
Physician Assistant 363A00000X 2012015985 IL

Addresses

Primary practice location

20 Progress Point Pkwy Ste 202
O Fallon, MO 63368-2207

Mailing address

12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657
Phone (314) 567-6071

Other practice location 1

12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657
Phone (314) 567-6071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130513000313 MO Practitioner - Physician Assistant 3072750918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology of St Louis IncGroup PAC ID 6204723786, 112 clinicians

Practice addresses (Care Compare)

111 Saint Lukes Ctr Dr
Suite 40
Chesterfield, MO 63017-3509
Phone (314) 434-3433

112 Piper Hill Dr
Saint Peters, MO 63376-1690
Phone (636) 939-9202

12855 N 40 Dr
125 Neurosurgery of St Louis
Saint Louis, MO 63141-8663
Phone (314) 806-1770

12855 N 40 Dr
350 Urology of St Louis
Saint Louis, MO 63141-8669
Phone (314) 567-6071

12855 N 40 Dr
Arch Cancer Care
Saint Louis, MO 63141-8622
Phone (314) 523-5444

12855 N 40 Dr
Suite 375
Saint Louis, MO 63141-8657
Phone (314) 567-6071

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.16 of 100Reported as group
Quality
55.68
Promoting interoperability
100
Improvement activities
40
Cost
74.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of St. Louis, Inc. CurrentSince May 1, 2022 Accepting new patients
Urology of St. Louis, Inc. Past Accepting new patients

Locations

111 Saint Lukes Center Dr
Ste 40
Chesterfield, MO 63017
Phone (314) 434-3433

12855 N 40 Dr
Ste 375
Saint Louis, MO 63141

12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415

Interoperability endpoints

  • Direct secure messaging: jamiemoravec@slus.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1659630648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR STE 375",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418657",
            "telephone_number": "314-567-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROGRESS POINT PKWY STE 202",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633682207",
            "telephone_number": "636-216-8372",
            "fax_number": "314-741-5102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12855 N 40 Dr Ste 375",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418657",
            "country_code": "US",
            "telephone_number": "314-567-6071",
            "fax_number": "314-453-9965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAVEC",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2012015985",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "2012015985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.