Jennifer Marie Phillips, APRN-C
Individual provider Active NPI Nurse Practitioner · O Fallon, MO
NPI 1700301272 · NPPES record last updated Sep 17, 2025
Key facts
- NPI
- 1700301272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2017024367 (MO)
- Practice address
- 20 Progress Point Pkwy Ste 206
O Fallon, MO 63368-2207 - Phone
- (636) 344-1073
- Fax
- (636) 344-1075
- NPI assigned
- Aug 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physician Groups LC
Practice addresses (Care Compare)
10 Hospital Dr
Suite 100
Saint Peters, MO 63376-1659
Phone (636) 916-7272
1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195
2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454
Hospital & facility affiliations
- Progress West Hospital
- Barnes-Jewish St Peters Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.37 of 100
- Quality
- 79.66
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.57
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170829000354 | MO | Practitioner - Nurse Practitioner | 4183997000 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017024367 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Groups LC | Current |
Accepting new patients | |
| Physician Groups LC | Current |
Accepting new patients |
Locations
2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454
20 Progress Point Pkwy
Ste 206
O Fallon, MO 63368
Phone (636) 344-1073
70 Jungermann Cir
Ste 201
Saint Peters, MO 63376
Phone (636) 916-9525
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2017024367 | MO | |
| Nurse Practitioner | 363L00000X | 2017024367 | MO | Yes |
Addresses
Primary practice location
20 Progress Point Pkwy Ste 206
O Fallon, MO 63368-2207
Mailing address
PO Box 959354
Saint Louis, MO 63195-9354
Phone (636) 344-1073
Other practice location 1
100 Village Sq
Hazelwood, MO 63042-1820
Phone (314) 355-4010
Other names
- Jennifer Marie Tooley
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) |
Other providers in O Fallon, MO
- Lindsey Perrey
- Christopher William Perry
- Angela M Peter
- Dawn C Peters
- Mary Kathryn Peters
- Alyssa A Phinney
- Physical Medicine Group, LLC
- Physician Groups LC
- Physician Groups LC
- Physician Groups LC
All providers in O Fallon, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.