JILLIAN NICOLE ETHRIDGE-BROWN MSN, FNP-BC
NPI 1093252777
Nurse Practitioner - Family in Saint Louis, MO

Q: What is Jillian Ethridge-brown's NPI number?

The NPI number for Jillian Ethridge-brown is 1093252777. It was assigned to this individual provider in the NPPES registry on January 19, 2017. The provider is also known as Ms. Jillian Nicole Ethridge Msn, Fnp-Bc.

Q: What is Jillian Ethridge-brown's specialty?

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

Active since January 19, 2017PECOS EnrolledAccepts Medicare Assignment

4438 TELEGRAPH RD, SAINT LOUIS, MO 63129(314) 742-6000(314) 742-6002 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Jan 6, 2025, Nov 3, 2020 and 2 more (5 updates tracked since 2017).

On this page

About Jillian Nicole Ethridge-brown Msn, Fnp-bc NPPES

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

JILLIAN NICOLE ETHRIDGE-BROWN MSN, FNP-BC (NPI 1093252777) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2016034571) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093252777

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJILLIAN NICOLE ETHRIDGE-BROWNCredential: MSN, FNP-BC

Location Address4438 TELEGRAPH RDSaint Louis, MO 63129-3316

Mailing AddressPo Box 959354Saint Louis, MO 63195-2235 · (314) 742-6000 · Fax (314) 742-6002

Phone(314) 742-6000

Fax(314) 742-6002

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 19, 2017

Last NPPES UpdateSeptember 19, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1093252777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2016034571

Also ListedRegistered NurseTaxonomy 163W00000X · License 2008021433 (MO), 041425190 (IL)

Also ListedRegistered Nurse · FlightTaxonomy 163WF0300X · License 2008021433 (MO)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 2016034571 (MO)

4438 TELEGRAPH RD, Saint Louis, MO 63129

Open in Google Maps ↗

Other Names 1

Professional Name (2)Ms. Jillian Nicole Ethridge Msn, Fnp-bc

Secondary Practice Locations 4

Location 1660A S Truman BlvdFestus, MO 63028 · Phone (636) 931-3800 · Fax (636) 931-3911

Location 213270 Shady Green DrSaint Louis, MO 63128-3842 · Phone (314) 402-5485

Location 31296 Jeffco BlvdArnold, MO 63010-2138 · Phone (636) 321-8610

Location 42022 Dorsett VlgMaryland Heights, MO 63043-2208 · Phone (314) 520-0520

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Jillian Nicole Ethridge-brown Msn, Fnp-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 ID8022392349

PECOS Enrollment IDI20170306002547

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63129 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 7

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

ST. ANTHONY'S PHYSICIAN ORGANIZATION

Family Medicine