JACOB BAST
NPI 1194296186
Physician Assistant - Medical in Saint Louis, MO

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment
10010 KENNERLY RD, SAINT LOUIS, MO 63128(314) 525-1000 Get Directions Write a Review

NPPES record last updated: March 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 15, 2020, Dec 17, 2018 (2 updates tracked since 2018).

About Jacob Bast NPPES

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

JACOB BAST (NPI 1194296186) is an individual medical provider in Saint Louis, Missouri, licensed in Missouri (2020005531) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital South, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1194296186
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACOB BAST
Location Address10010 KENNERLY RDSaint Louis, MO 63128-2106
Mailing Address6439 Fordyce Bluffs DrSaint Louis, MO 63129-5062 · (314) 933-6577
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2019
Enumeration DateDecember 17, 2018
Last NPPES UpdateMarch 15, 20202 updates tracked since enumeration
NPPES CertifiedMarch 15, 2020
NPI 1194296186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MO · 2020005531
10010 KENNERLY RD, Saint Louis, MO 63128

Secondary Practice Location 1

Location 16439 Fordyce Bluffs DrSaint Louis, MO 63129-5062 · Phone (314) 933-6577

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

Jacob Bast 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 ID8022449594
PECOS Enrollment IDI20200518000387
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.

Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
17 services13 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

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.

Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Physical Medicine & Rehabilitation
10010 KENNERLY RD, 4TH FLOOR - ACUTE REHAB
SAINT LOUIS, MO 63128
Radiology (Diagnostic Radiology)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Dietitian, Registered
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Nurse Practitioner (Family)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Emergency Medicine
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128

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 Jacob Bast's NPI number?

The NPI number for Jacob Bast is 1194296186. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Where is Jacob Bast located?

Jacob Bast practices at 10010 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (314) 525-1000.

What is Jacob Bast's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacob Bast enrolled in Medicare?

Yes. Jacob Bast 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 Jacob Bast accept?

Health plans from Medica list Jacob Bast 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 Jacob Bast affiliated with any hospitals?

According to CMS data, Jacob Bast is affiliated with Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Jacob Bast was last updated on March 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.