Active NPI
Jessica Fraire, CNM
- Advanced Practice Midwife
- Farmington, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 2023045093
- Practice address
- 1103 W Liberty St
Farmington, MO 63640-1921 - Phone
- (573) 701-7227
- NPI assigned
- Sep 4, 2024
- Last updated
- Sep 17, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 2023045093 | MO | Primary |
| Advanced Practice Midwife | 367A00000X |
Addresses
Primary practice location
1103 W Liberty St
Farmington, MO 63640-1921
Mailing address
PO Box 957683
Saint Louis, MO 63195-7683
Phone (573) 756-6751
Other practice location 1
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6000
Other practice location 2
10777 Sunset Office Dr Ste 200
Saint Louis, MO 63127-1019
Phone (314) 842-4802
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6451
1103 W Liberty St
Farmington, MO 63640-1921
Phone (573) 358-1400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023045093 | MO | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkland Health Center | Current | Accepting new patients | |
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Parkland Health Center | Current | Accepting new patients | |
| Mercy Clinic East Communities | Past | Accepting new patients |
Locations
1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272
1103 W Liberty St
Farmington, MO 63640
Phone (573) 760-8488
10777 Sunset Office Dr
Ste 200
Saint Louis, MO 63127
Phone (314) 842-4802
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Farmington, MO
- NPI 1922016112
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
dba Parkland Health Center Primary Care Clinic
- Rural Health Clinic/Center
- Farmington, MO
- NPI 1427806413
-
- Multi-Specialty Clinic/Center
- Wildwood, MO
- NPI 1164857397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1801621453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 957683",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631957683",
"telephone_number": "573-756-6751",
"fax_number": "573-756-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 W LIBERTY ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401921",
"telephone_number": "573-701-7227"
}
],
"practiceLocations": [
{
"address_1": "615 S New Ballas Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418221",
"country_code": "US",
"telephone_number": "314-251-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10777 Sunset Office Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631271019",
"country_code": "US",
"telephone_number": "314-842-4802",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRAIRE",
"first_name": "JESSICA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MO",
"license": "2023045093",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1103 W Liberty St",
"city": "Farmington",
"state": "MO",
"country_code": "US",
"postal_code": "636401921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.