JODIE TANKERSLEY AGPCNP-BC
NPI 1306393350
Nurse Practitioner - Adult Health in Chesterfield, MO
About Jodie Tankersley Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODIE TANKERSLEY AGPCNP-BC (NPI 1306393350) is an individual adult health provider in Chesterfield, Missouri, licensed in Missouri (2016025283) and active in the NPI registry since September 2016. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Chesterfield.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jodie Tankersley Agpcnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2025 through January 1, 2027.
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.
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.
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
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 Jodie Tankersley's NPI number?
The NPI number for Jodie Tankersley is 1306393350. It was assigned to this individual provider in the NPPES registry on September 7, 2016.
Where is Jodie Tankersley located?
Jodie Tankersley practices at 15740 S Outer 40 Rd, Chesterfield, MO 63017. The listed phone number is (636) 735-4268.
What is Jodie Tankersley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Jodie Tankersley enrolled in Medicare?
No. Jodie Tankersley has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Jodie Tankersley was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jodie Tankersley, AGPCNP-BC · NPI 1306393350
Adult Health physician in Chesterfield, Missouri. Individual provider, active in the CMS NPPES registry since September 7, 2016.
## Identity
- **NPI:** 1306393350 (Entity type: Individual)
- **Enumerated:** September 7, 2016
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 2016025283 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 15740 S OUTER 40 RD, Chesterfield, MO 63017
- **Phone:** (636) 735-4268
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** September 12, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1306393350) · Data from the CMS NPPES public registry.