Individual provider Active NPI

Jennifer Rae Banovic Plowman, AU.D.

  • Audiologist
  • Creve Coeur, MO
National Provider Identifier
1821713637
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2022038462 Issued in MO
Practice address
12380 Olive Blvd
Creve Coeur, MO 63141-6443
Phone
(314) 384-8088
Fax
(636) 238-4388
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2022038462 MO Primary

Addresses

Primary practice location

12380 Olive Blvd
Creve Coeur, MO 63141-6443

Mailing address

12380 Olive Blvd
Creve Coeur, MO 63141-6443
Phone (314) 384-5454

Other names 1

  • Jennifer Banovic Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221025000456 MO Practitioner - Qualified Audiologist 0345616884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

555 N New Ballas Rd
Suite 260
Saint Louis, MO 63141-6886
Phone (314) 977-6362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022038462MOMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince Nov 1, 2024 Accepting new patients
Midwest Dizziness and Balance Institute LLC Audiologist CurrentSince Oct 21, 2022 Accepting new patients
SSM Health Care Group Audiologist CurrentSince Nov 1, 2024 Accepting new patients
Sound Health Services P.C. PastSince Oct 9, 2022 Accepting new patients

Locations

14222 Ladue Rd
Chesterfield, MO 63017
Phone (314) 384-8088

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

12380 Olive Blvd
Saint Louis, MO 63141
Phone (314) 384-5454

555 N New Ballas Rd
Ste 260
Saint Louis, MO 63141
Phone (314) 977-6362

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.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1821713637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416443",
            "telephone_number": "314-384-5454",
            "fax_number": "636-238-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12380 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416443",
            "telephone_number": "314-384-8088",
            "fax_number": "636-238-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOWMAN",
        "first_name": "JENNIFER",
        "middle_name": "RAE BANOVIC",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "2022038462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BANOVIC",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.