Active NPI
Jessica Marie Knobbe, CPNP
- Pediatric Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 2024047471
- Practice address
- 5501 Delmar Blvd Ste B560
Saint Louis, MO 63112-3084 - Phone
- (314) 833-4030
- NPI assigned
- Nov 22, 2024
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 2024047471 | MO | Primary |
Addresses
Primary practice location
5501 Delmar Blvd Ste B560
Saint Louis, MO 63112-3084
Mailing address
5501 Delmar Blvd
Saint Louis, MO 63112-3054
Phone (314) 833-4030
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9417 S Broadway
Saint Louis, MO 63125-2009
Phone (314) 833-4030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024047471 | MO | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for Research and Education in Family Medicine | Current | Accepting new patients |
Locations (25 of 36)
11280 Saint Charles Rock Rd
Bridgeton, MO 63044
11635 Oakbury Ct
Bridgeton, MO 63044
Phone (314) 213-8012
3415 Bridgeland Dr
Bridgeton, MO 63044
11300 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone (314) 739-6811
1700 Derhake Rd
Florissant, MO 63033
Phone (314) 989-7600
2497 Creve Coeur Mill Rd
Maryland Heights, MO 63043
Phone (314) 213-8051
102 Fee Fee Rd
Maryland Heights, MO 63043
Phone (314) 213-8016
2905 Rose Acres Ln
Maryland Heights, MO 63043
Phone (314) 213-8017
3199 Parkwood Ln
Maryland Heights, MO 63043
195 Fee Fee Rd
Maryland Heights, MO 63043
Phone (314) 213-8033
2900 Adie Rd
Saint Ann, MO 63074
Phone (314) 213-8100
11055 Saint Charles Rock Rd
Saint Ann, MO 63074
Phone (314) 213-8032
3721 Saint Bridget Ln
Saint Ann, MO 63074
Phone (314) 213-8419
315 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 947-0600
516 Jefferson St
Saint Charles, MO 63301
Phone (636) 946-0101
5501 Delmar Blvd
Ste B560
Saint Louis, MO 63112
1547 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 776-3285
7520 Natural Bridge Rd
Saint Louis, MO 63121
Phone (314) 222-4877
11022 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 213-8018
3001 Meramec St
Saint Louis, MO 63118
Phone (314) 631-2470
11037 Breezy Point Ln
Saint Louis, MO 63136
Phone (314) 953-8041
3230 Hartford St
Saint Louis, MO 63118
Phone (314) 776-6040
7401 Florissant Rd
Saint Louis, MO 63121
Phone (314) 261-6011
4222 Delor St
Saint Louis, MO 63116
Phone (314) 773-6100
5183 Raymond Ave
Saint Louis, MO 63113
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.
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1972567923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1780409805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 DELMAR BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631123054",
"telephone_number": "314-833-4030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 DELMAR BLVD STE B560",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631123084",
"telephone_number": "314-833-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOBBE",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-22",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MO",
"license": "2024047471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.