DR. REBECCA JADWISIAK DO
NPI 1215674817
Family Medicine in Arnold, MO

Q: What is Rebecca Jadwisiak's NPI number?

The NPI number for Rebecca Jadwisiak is 1215674817. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Q: What is Rebecca Jadwisiak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Jadwisiak was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since May 16, 2022PECOS EnrolledAccepts Medicare Assignment

3619 RICHARDSON SQUARE DR STE 170, ARNOLD, MO 63010(636) 717-6776 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, May 16, 2022 (2 updates tracked since 2022).

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About Dr. Rebecca Jadwisiak Do NPPES

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

DR. REBECCA JADWISIAK DO (NPI 1215674817) is an individual family medicine provider in Arnold, Missouri, licensed in Missouri (2022022952) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1215674817

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. REBECCA JADWISIAKCredential: DO

Location Address3619 RICHARDSON SQUARE DR STE 170Arnold, MO 63010-6014

Mailing AddressPo Box 776084Chicago, IL 60677-6084 · (636) 717-6776 · Fax (314) 525-4055

Phone(636) 717-6776

Sole ProprietorYes

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2022

Enumeration DateMay 16, 2022

Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration

NPPES CertifiedJuly 8, 2025

✔ NPI 1215674817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · 2022022952

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3619 RICHARDSON SQUARE DR STE 170, Arnold, MO 63010

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Secondary Practice Location 1

Location 112680 Olive Blvd Ste 200Saint Louis, MO 63141-6322 · Phone (314) 251-8888

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Rebecca Jadwisiak Do 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 ID1153701545

PECOS Enrollment IDI20250906000614

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.

Hospital Affiliations CMS Care Compare 3

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260020

Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County

Emergency services Birthing friendly

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260023

Location1400 Us Highway 61Festus, MO 63028 · Jefferson County

Emergency services

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63010 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 2

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

CHRISTINA LYN HELDERLE FNP

Family Medicine

3619 RICHARDSON SQUARE DR STE 170
ARNOLD, MO 63010

Jefferson County (636) 717-6776

KRISTA DANIELLE ALLEN AANP-FNP

Nurse Practitioner (Primary Care)

3619 RICHARDSON SQUARE DR STE 170
ARNOLD, MO 63010

Jefferson County (636) 717-6776

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 Rebecca Jadwisiak's NPI number?

The NPI number for Rebecca Jadwisiak is 1215674817. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Rebecca Jadwisiak located?

Rebecca Jadwisiak practices at 3619 Richardson Square Dr Ste 170, Arnold, MO 63010. The listed phone number is (636) 717-6776.

What is Rebecca Jadwisiak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rebecca Jadwisiak enrolled in Medicare?

Yes. Rebecca Jadwisiak 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.

Is Rebecca Jadwisiak affiliated with any hospitals?

According to CMS data, Rebecca Jadwisiak is affiliated with Mercy Hospital St Louis, Mercy Hospital Jefferson and Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Rebecca Jadwisiak was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.