Individual provider Active NPI

Elizabeth Erin Jones, FNP

  • Family Nurse Practitioner
  • Fenton, MO
National Provider Identifier
1790528289
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024027175 Issued in MO
Practice address
774 Gravois Bluffs Blvd Ste a
Fenton, MO 63026-7758
Phone
(636) 343-5223
NPI assigned
Jun 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2004005156 MO
Family Nurse Practitioner 363LF0000X 2024027175 MO Primary

Addresses

Primary practice location

774 Gravois Bluffs Blvd Ste a
Fenton, MO 63026-7758

Mailing address

1554 Prospect Lakes Dr
Wentzville, MO 63385-4905
Phone (636) 614-8121

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
I20250313001926 MO Practitioner - Nurse Practitioner 2365964871 Reassigns benefits to 3 organizations

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
Emergency Physicians of St Lukes LLCGroup PAC ID 3779714142, 63 clinicians

Practice addresses (Care Compare)

774 Gravois Bluffs Blvd
Fenton, MO 63026-7716
Phone (636) 343-5223

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2004005156MOMDRegistered Nurse
2024027175MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine - SLMG South, LLC CurrentSince Mar 4, 2025 Accepting new patients
Emergency Physicians of St. Luke's, LLC CurrentSince Jan 19, 2025 Accepting new patients
Physician Specialists of St Lukes LLC CurrentSince Jan 27, 2025 Accepting new patients
St. Lukes Medical Group Past Accepting new patients

Locations

121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278

17421 Chesterfield Airport Rd
Chesterfield, MO 63005
Phone (636) 685-7720

12304 Manchester Rd
Des Peres, MO 63131
Phone (314) 965-6871

233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644

774 Gravois Bluffs Blvd
Ste A
Fenton, MO 63026
Phone (636) 343-5223

774 Gravois Bluffs Blvd
Fenton, MO 63026
Phone (636) 343-5223

1501 Professional Dr
Imperial, MO 63052
Phone (636) 464-4000

2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Organizations & group practices 4

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 1

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": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1790528289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1554 PROSPECT LAKES DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633854905",
            "telephone_number": "636-614-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 GRAVOIS BLUFFS BLVD STE A",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267758",
            "telephone_number": "636-343-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ELIZABETH",
        "middle_name": "ERIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2004005156",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024027175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

Verify at the official NPI Registry.