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Mary K Jackson , NURSE PRACTITIONER

Nurse Practitioner • Hazelwood, MO

Active NPI 1245358043 Individual Practitioner Female Practitioner
Practice location in NPPES

7927 N Lindbergh Blvd
Hazelwood, MO 630423520

Call 6157784066 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7927 N Lindbergh Blvd

Hazelwood, MO 630423520

Telephone 6157784066
Organization at the Same NPPES Address or Phone
Concentra Urgent Care - Sunshine (Miami) Facility NPI 1609079375

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Hazelwood and Missouri

3 active clinicians are listed under Nurse Practitioner with a practice address in Hazelwood, MO (1,721 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MO 082648

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Linda Fidrocki , PT

Physical Therapist

NPI 1023139375

Physical Therapist

Dr. William Lapham , MD

Physical Therapist

NPI 1013032887

Doctor of Medicine (M.D.)

Dr. Amir Nicknam , MD

Preventive Medicine - Occupational Medicine

NPI 1063530434

Doctor of Medicine (M.D.)

Alexi Pumarejo , PT

Physical Therapist

NPI 1083732416

Physical Therapist

Mark Stearns , PT

Physical Therapist

NPI 1083734362

Physical Therapist

Dr. Philip Tavares , MD

Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine

NPI 1073630612

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated March 27, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1245358043
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Other Nurse Practitioners in Hazelwood

Healthcare providers in Hazelwood

Mailing Address

720 Cool Springs Blvd, Suite 300

Franklin, TN 370672626

Phone: 6157784066

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.