Individual provider Active NPI

Wendy Maria Jauch, APRN

  • Adult Health Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1902347693
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2016040143 Issued in MO
Practice address
310 S Silver Springs Rd
Cape Girardeau, MO 63703-6312
Phone
(573) 651-3232
Fax
(573) 335-0147
NPI assigned
Mar 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2016040143 MO Primary

Addresses

Primary practice location

310 S Silver Springs Rd
Cape Girardeau, MO 63703-6312

Mailing address

310 S Silver Springs Rd
Cape Girardeau, MO 63703-6312
Phone (573) 651-3232

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
I20170427000223 MO Practitioner - Nurse Practitioner 1850678947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Missouri Hospital Physicians LLCGroup PAC ID 9133024334, 206 clinicians

Practice addresses (Care Compare)

310 S Silver Springs Rd
Cape Girardeau, MO 63703-6312
Phone (573) 334-9637

Hospital & facility affiliations

  • Grace Reliant Health Services, LLC Home health agency, Cape Girardeau, MO, CCN 267646
  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Hospital Current Accepting new patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Apr 3, 2017 Accepting new patients

Locations

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

310 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 334-9537

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 2

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": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1902347693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S SILVER SPRINGS RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036312",
            "telephone_number": "573-651-3232",
            "fax_number": "573-335-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S SILVER SPRINGS RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036312",
            "telephone_number": "573-651-3232",
            "fax_number": "573-335-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAUCH",
        "first_name": "WENDY",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2016040143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.