JESSICA LYNN TIESKOETTER DNP, APRN, FNP-BC
NPI 1669182978
Nurse Practitioner - Family in Saint Louis, MO

Q: What is Jessica Tieskoetter's NPI number?

The NPI number for Jessica Tieskoetter is 1669182978. It was assigned to this individual provider in the NPPES registry on November 28, 2022. The provider is also known as Jessica Lynn Johnson.

Q: What is Jessica Tieskoetter's specialty?

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

Active since November 28, 2022PECOS Enrolled

7334 S LINDBERGH BLVD, SAINT LOUIS, MO 63125(866) 389-2727 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Jessica Lynn Tieskoetter Dnp, Aprn, Fnp-bc NPPES

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

JESSICA LYNN TIESKOETTER DNP, APRN, FNP-BC (NPI 1669182978) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2022041557) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669182978

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA LYNN TIESKOETTERCredential: DNP, APRN, FNP-BC

Location Address7334 S LINDBERGH BLVDSaint Louis, MO 63125-4522

Mailing Address7334 S Lindbergh BlvdSaint Louis, MO 63125-4522 · (866) 389-2727

Phone(866) 389-2727

Sole ProprietorNo

Enumeration DateNovember 28, 2022

NPPES CertifiedNovember 28, 2022

✔ NPI 1669182978 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 · 2022041557

7334 S LINDBERGH BLVD, Saint Louis, MO 63125

Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica Lynn Johnson

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Tieskoetter Dnp, Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jessica Tieskoetter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ssm Health Care St Louis

8.2 mi

Emergency Medicine

1015 BOWLES AVENUE
Fenton, MO 63026

Reassigned Medicare billing, Missouri enrollment
741 clinicians in this Medicare group

NPI 1275586174 (636) 496-2502

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

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

62 services62 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63125 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.

ABISOLA E ABIMBOLA

Nurse Practitioner (Family)