Jeannine Ayers, ANP – Adult Health Nurse Practitioner

Key facts

NPI: 1831209840
Entity type: Individual (NPI type 1)
Primary specialty: Adult Health Nurse Practitioner 363LA2200X
License: 080031 (MO)
Practice address: 20 Progress Point Pkwy
Ste 108
O Fallon, MO 63368-2206
Phone: (636) 344-2400
Fax: (636) 344-2401
NPI assigned: Aug 30, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Physician Groups LC Multi-Specialty Clinic/Center · Saint Louis, MO · NPI 1285664268

NPD (past)
Saint Louis Connectcare Dermatology Physician · Saint Louis, MO · NPI 1396703278

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Saint Louis Connectcare		Past	Accepting new patients
Physician Groups LC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Adult Health Nurse Practitioner	363LA2200X	080031	MO	Yes

Addresses

Primary practice location

20 Progress Point Pkwy
Ste 108
O Fallon, MO 63368-2206

Mailing address

670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141-8573
Phone (636) 344-2400

Other providers in O Fallon, MO

All providers in O Fallon, MO · Adult Health Nurse Practitioner in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.