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SARAH RUTH JACKSON DNP
NPI 1083044879
Nurse Practitioner - Family in Chesterfield, MO

Active since November 15, 2013PECOS EnrolledAccepts Medicare Assignment
15740 S OUTER 40 RD, CHESTERFIELD, MO 63017(636) 237-4700 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2023, Oct 27, 2022 (2 updates tracked since 2022).

About Sarah Ruth Jackson Dnp NPPES

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

SARAH RUTH JACKSON DNP (NPI 1083044879) is an individual family provider in Chesterfield, Missouri, licensed in Missouri (2013041168) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083044879
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSARAH RUTH JACKSONCredential: DNP
Location Address15740 S OUTER 40 RDChesterfield, MO 63017-2004
Mailing Address15740 S Outer 40 RdChesterfield, MO 63017-2004 · (636) 237-4700
Phone(636) 237-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 15, 2013
Last NPPES UpdateJune 9, 20232 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1083044879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2013041168
15740 S OUTER 40 RD, Chesterfield, MO 63017
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sarah Ruth Jackson Dnp 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 ID1052541166
PECOS Enrollment IDI20140310001972
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Sarah Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Aco Clinical Services Inc
Same address
Neurology
15740 S OUTER 40 RD
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 263 clinicians in this Medicare group
NPI 1063965093 (636) 237-4200
Internal Medicine Of St. Luke's, LLC
2.6 mi
Internal Medicine
121 SAINT LUKES CENTER DR STE 504
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Internal Medicine Of St Lukes LLC
  • 17 clinicians in this Medicare group
NPI 1316189194 (314) 205-6399
Mercy Hospitals East Communities
6.2 mi
General Acute Care Hospital
615 S NEW BALLAS RD
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 241 clinicians in this Medicare group
NPI 1427098169 (314) 251-6000
Ssm Medical Group, Inc.
9.8 mi
Multi-Specialty
1011 BOWLES AVE, SUITE 300
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 697 clinicians in this Medicare group
NPI 1700966207 (636) 496-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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.

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.

MRS. ELIZABETH ANN CURTIS FNP-C
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
St. Louis County (636) 237-4200
MRS. SARAH ELIZABETH BLOCH RN, MSN, FNP
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
St. Louis County (636) 237-4700
NICHOLE MARIE MACLELLAN FNP
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
St. Louis County (636) 735-4755
DR. MARTHA J. COLVILLE MD
Family Medicine
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
St. Louis County (636) 237-4200
MERCY ACO CLINICAL SERVICES INC
Psychiatry & Neurology (Neurology)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
St. Louis County (636) 237-4200
VICTORIA LYNN ALSTADT-JOHNSON FNP-BC
Nurse Practitioner (Family)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
St. Louis County (636) 237-4000
BREANNA SHELTON PLPC
Counselor (Professional)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
St. Louis County (314) 251-2870
MS. DAWN MARIE ROEMER PNP
Nurse Practitioner (Pediatrics)
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
St. Louis County (636) 237-4700

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 Sarah Jackson's NPI number?

The NPI number for Sarah Jackson is 1083044879. It was assigned to this individual provider in the NPPES registry on November 15, 2013.

Where is Sarah Jackson located?

Sarah Jackson practices at 15740 S Outer 40 Rd, Chesterfield, MO 63017. The listed phone number is (636) 237-4700.

What is Sarah Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sarah Jackson enrolled in Medicare?

Yes. Sarah Jackson 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.

Which organizations bill Medicare for Sarah Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Jackson reassigns Medicare benefits to 4 organizations: Mercy Aco Clinical Services Inc (Chesterfield, MO), Internal Medicine Of St. Luke's, LLC (Chesterfield, MO), Mercy Hospitals East Communities (Saint Louis, MO) and Ssm Medical Group, Inc. (Fenton, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sarah Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sarah Jackson accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Sarah Jackson 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.

When was this NPI record last updated?

The NPPES record for Sarah Jackson was last updated on June 9, 2023. 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.