Individual provider Active NPI

Jessica Gayle Hillgartner, MSN, AGNP-BC

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1821841099
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2016030277 Issued in MO
Practice address
625 S New Ballas Rd
Saint Louis, MO 63141-8240
Phone
(314) 251-1700
NPI assigned
Apr 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2016030277 MO Primary

Addresses

Primary practice location

625 S New Ballas Rd
Saint Louis, MO 63141-8240

Mailing address

23 Fairway Green CT
O Fallon, MO 63368-4274
Phone (314) 737-6787

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
I20240725001376 MO Practitioner - Nurse Practitioner 5799221800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Heart and Vascular LLCGroup PAC ID 8820016207, 112 clinicians

Practice addresses (Care Compare)

1390 US Hwy 61
Suite N1500
Festus, MO 63028-4137
Phone (636) 933-5055

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2016030277MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Heart and Vascular, LLC CurrentSince Jun 10, 2024 Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC Past Accepting new patients
Mercy Clinic East Communities Past Accepting new patients
Saint Luke's Physician Group Inc Nurse Practitioner PastSince Jun 10, 2024 Accepting new patients

Locations

15945 Clayton Rd
Ste 230A
Ballwin, MO 63011
Phone (636) 256-5240

1390 US Highway 61
Ste N1500
Crystal Cty, MO 63028
Phone (636) 933-5055

1203 Smizer Mill Rd
Ste 102
Fenton, MO 63026
Phone (636) 717-1479

755 Dunn Rd
Ste 160
Hazelwood, MO 63042
Phone (314) 251-1775

1820 Zumbehl Rd
Ste 120
Saint Charles, MO 63303
Phone (314) 801-5350

625 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-0175

625 S New Ballas Rd
Ste 2015
Saint Louis, MO 63141
Phone (314) 251-1775

10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807

12348 Old Tesson Rd
Ste 260
Saint Louis, MO 63128
Phone (314) 251-1777

1000 E Cherry St
Fl 3
Troy, MO 63379
Phone (636) 528-3276

901 Patients First Dr
#2500
Washington, MO 63090

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 3

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": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1821841099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 FAIRWAY GREEN CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684274",
            "telephone_number": "314-737-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418240",
            "telephone_number": "314-251-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLGARTNER",
        "first_name": "JESSICA",
        "middle_name": "GAYLE",
        "credential": "MSN, AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2016030277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.