| Ssm Regional Health Services | |
|
3348 American Ave Jefferson City MO 65109-1079 | |
| (573) 761-7210 | |
| (573) 634-8802 |
| Full Name | Ssm Regional Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3348 American Ave, Jefferson City, Missouri |
| Authorized Official Name and Position | Shasta Rene Manuel (REGIONAL VICE PRESIDENT FINANCE/CFO) |
| Authorized Official Contact | 4052727282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Regional Health Services Po Box 1027 Jefferson City MO 65102-1027 Ph: (573) 681-3767 | Ssm Regional Health Services 3348 American Ave Jefferson City MO 65109-1079 Ph: (573) 761-7210 |
| NPI Number | 1396782587 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 05/13/2025 |
| Medicare PECOS PAC ID | 8921917352 |
|---|---|
| Medicare Enrollment ID | O20040907000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396782587 | NPI | - | NPPES |
| 501283501 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jennifer P Krause |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255361036 PECOS PAC ID: 5799756334 Enrollment ID: I20040805000539 |
| Provider Name | Bridgett A Wekenborg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912258195 PECOS PAC ID: 0345495479 Enrollment ID: I20130221000254 |
| Provider Name | Olga Brea Pena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417333253 PECOS PAC ID: 3173875226 Enrollment ID: I20181017003486 |
| Provider Name | Lani Horstmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447671938 PECOS PAC ID: 4981045887 Enrollment ID: I20240509001466 |
| Provider Name | Hala Alsalhi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790246528 PECOS PAC ID: 1557744745 Enrollment ID: I20240517000668 |
| Provider Name | Nanette S Nuessle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184630741 PECOS PAC ID: 7618008244 Enrollment ID: I20240812001602 |
| Provider Name | Darya Tajfiroozeh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932788551 PECOS PAC ID: 2668905043 Enrollment ID: I20241023003012 |
| Provider Name | Valerie Hummel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619505526 PECOS PAC ID: 0143679936 Enrollment ID: I20241202003145 |
Spine Midwest, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Saint Marys Medical Plz, Suite 301, Jefferson City, MO 65101 Phone: 573-634-4212 | |
Capital Region Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Southwest Blvd, Ste C, Jefferson City, MO 65109 Phone: 573-632-5786 Fax: 573-632-5833 | |
Family Medicine Of Jefferson City, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1616 Southridge Dr, Suite #203, Jefferson City, MO 65109 Phone: 573-659-7300 Fax: 573-636-0555 | |
Ssm Regional Health Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2505 Mission Dr, Suite 210, Jefferson City, MO 65109 Phone: 573-681-3000 Fax: 573-659-2503 | |
Innovative Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3218 W Edgewood Dr, Ste 500, Jefferson City, MO 65109 Phone: 949-696-6157 | |
Capital Region Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 E High St, Jefferson City, MO 65101 Phone: 573-635-0916 Fax: 573-635-8812 | |
Curators Of The University Of Missouri Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 Fax: 573-632-5932 |