Individual provider Active NPI

Abigail Jansen, NP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1952954208
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021026225 Issued in MO
Practice address
625 S New Ballas Rd Ste 2015
Saint Louis, MO 63141-8253
Phone
(314) 251-1700
Fax
(314) 251-1701
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2017004142 MO
Family Nurse Practitioner 363LF0000X 80411 KS
Family Nurse Practitioner 363LF0000X 2021026225 MO Primary

Addresses

Primary practice location

625 S New Ballas Rd Ste 2015
Saint Louis, MO 63141-8253

Mailing address

625 S New Ballas Rd Ste 2015
Saint Louis, MO 63141-8253
Phone (314) 251-1700

Other practice location 1

625 S New Ballas Rd Ste 2030
Saint Louis, MO 63141-8253
Phone (314) 251-1700

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
I20220314000635 MO Practitioner - Nurse Practitioner 8527453307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
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)

625 S New Ballas Rd
Suite 2015
Saint Louis, MO 63141-8253
Phone (314) 251-1700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2017004142MOMDRegistered Nurse
80411KSMDFamily Nurse Practitioner
2021026225MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Heart and Vascular, LLC CurrentSince Jun 12, 2023 Accepting new patients
Mercy Clinic East Communities Past Accepting new patients

Locations

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

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

509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045

2680 Gravois Rd
High Ridge, MO 63049
Phone (314) 842-0602

2223 Technology Dr
Ste 30
O Fallon, MO 63368
Phone (636) 755-4373

440 Hometown Plaza Dr
Owensville, MO 65066
Phone (573) 437-6100

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

12200 Weber Hill Rd
Ste 100
Saint Louis, MO 63127
Phone (314) 698-2400

10012 Kennerly Rd
Ste 300
Saint Louis, MO 63128
Phone (314) 842-0602

7345 Watson Rd
#1
Saint Louis, MO 63119
Phone (314) 692-2807

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

1001 S Kirkwood Rd
Ste 310
Saint Louis, MO 63122
Phone (314) 692-2807

625 S New Ballas Rd
Ste 2030
Saint Louis, MO 63141
Phone (314) 251-5800

4280 Mid America Ln
Ste 10
Saint Louis, MO 63129
Phone (314) 692-2807

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

990 Park Dr
Ste Genevieve, MO 63670
Phone (573) 883-5151

1326 S Service Rd W
Ste 30
Sullivan, MO 63080
Phone (314) 543-5999

521 Anwijo Way
Warrenton, MO 63383
Phone (636) 239-7344

901 Patients First Dr
Ste 2500
Washington, MO 63090

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.

Hospital & facility affiliations 4

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1952954208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD STE 2015",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418253",
            "telephone_number": "314-251-1700",
            "fax_number": "314-251-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD STE 2015",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418253",
            "telephone_number": "314-251-1700",
            "fax_number": "314-251-1701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 S New Ballas Rd Ste 2030",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418253",
            "country_code": "US",
            "telephone_number": "314-251-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "ABIGAIL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2017004142",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "80411",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021026225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.