Angelique K Jennewein, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2022006755 Issued in MO

Practice address

1390 US Highway 61 Ste G1000
Festus, MO 63028-4136

Phone

(636) 933-7400

NPI assigned

Jul 15, 2022

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Mercy Clinic Surgical Specialists LLCGroup PAC ID 1153455076, 180 clinicians

Agans Medical LLCGroup PAC ID 9830557875, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM Health St Mary's Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091
• Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Agans Medical LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Saint Louis, MO
  • NPI 1437843240
  Medicare reassignment Care Compare group NPD
• Mercy Clinic Surgical Specialists, LLC

  • Vascular Surgery Physician
  • Washington, MO
  • NPI 1043530538
  Medicare reassignment Care Compare group NPD
• Health Providers of America, LLC

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
  • NPI 1316560972

  MO

  Medicare reassignment Care Compare group
• Mercy Clinic Hyperbaric and Wound Care LLC

  • Surgery Physician
  • Festus, MO
  • NPI 1336568864
  Medicare reassignment NPD
• Mercy Clinic East Communities

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1851335228
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Jefferson

  • General Acute Care Hospital
  • Festus, MO
  • NPI 1508859661
  Care Compare affiliation
• SSM Health Care St. Louis

  dba SSM Health Cardinal Glennon Children's Hospital

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1336387836
  Care Compare affiliation
• SSM Health Care St. Louis

  dba SSM Health St. Mary's Hospital - St. Louis

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1962572396
  Care Compare affiliation

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1891429718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 CORTEZ DR",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630504956",
            "telephone_number": "314-650-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61 STE G1000",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284136",
            "telephone_number": "636-933-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNEWEIN",
        "first_name": "ANGELIQUE",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022006755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jenna3@mercy.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1390 US Highway 61 Ste G1500",
            "city": "Festus",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630284138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jefferson Memorial Surgical Partners LLC (Jefferson Memorial Surgery Center)
• Jefferson Physician Network, LLC
• Jefferson Regional Outpatient Facilities, LLC (Mercy Urgent Care)
• Erica Lyn Jenks, F.N.P.
• Jeffrey Kenneth Jenks, D.O.
• Judy Jennewein
• Sarah L Jensen, M.D.
• JMH Divisified Healthcare (JMH Ambulance Service)
• Joachim Plattin Townships Ambulance District
• John F. Empkey,D.D.S.,P.C

• Family Nurse Practitioner in Festus, MO
• Providers in Festus, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.

Verify at the official NPI Registry.