COLEEN R. JONES WHNP-BC
NPI 1053617407
Nurse Practitioner in Saint Louis, MO

Active since February 02, 2011PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
4352 MANCHESTER AVE, SAINT LOUIS, MO 63110(314) 531-5444(314) 531-0063 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2022, May 6, 2019 (2 updates tracked since 2019).

About Coleen R. Jones Whnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLEEN R. JONES WHNP-BC (NPI 1053617407) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2011001943) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1053617407
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCOLEEN R. JONESCredential: WHNP-BC
Location Address4352 MANCHESTER AVESaint Louis, MO 63110-2138
Mailing Address6420 Clayton Rd Ste 290Saint Louis, MO 63117-1811 · (314) 781-1505
Fax(314) 531-0063
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 2, 2011
Last NPPES UpdateOctober 7, 20222 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
NPI 1053617407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MO · 2011001943
Definition
(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.
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License 2011001943 (MO)
4352 MANCHESTER AVE, Saint Louis, MO 63110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Coleen R. Jones Whnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294919593
PECOS Enrollment IDI20110412000113
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services12 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
Family Medicine
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
Social Worker (Clinical)
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
Obstetrics & Gynecology
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
Dentist
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
Nurse Practitioner (Women's Health)
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
Pediatrics
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110
Internal Medicine
4352 MANCHESTER AVE
SAINT LOUIS, MO 63110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coleen Jones's NPI number?

The NPI number for Coleen Jones is 1053617407. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Where is Coleen Jones located?

Coleen Jones practices at 4352 Manchester Ave, Saint Louis, MO 63110. The listed phone number is (314) 531-5444.

What is Coleen Jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Coleen Jones enrolled in Medicare?

Yes. Coleen Jones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Coleen Jones accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Coleen Jones as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Coleen Jones affiliated with any hospitals?

According to CMS data, Coleen Jones is affiliated with Ssm St Joseph Health Center and Ssm Health St Mary's Hospital - St Louis.

When was this NPI record last updated?

The NPPES record for Coleen Jones was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.