JENNY LYNN FURTAK PNP
NPI 1720265077
Nurse Practitioner - Pediatrics in Saint Louis, MO

Q: What is Jenny Furtak's NPI number?

The NPI number for Jenny Furtak is 1720265077. It was assigned to this individual provider in the NPPES registry on January 29, 2008. The provider is also known as Jenny Lynn Etling Bs.

Q: What is Jenny Furtak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Jenny Furtak was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 29, 2008PECOS Enrolled

1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-5606(314) 577-5379 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jenny Lynn Furtak Pnp NPPES

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

JENNY LYNN FURTAK PNP (NPI 1720265077) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2000171394) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720265077

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJENNY LYNN FURTAKCredential: PNP

Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003

Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5666

Phone(314) 577-5606

Fax(314) 577-5379

Sole ProprietorNo

Enumeration DateJanuary 29, 2008

Last NPPES UpdateNovember 13, 2020

NPPES CertifiedNovember 13, 2020

✔ NPI 1720265077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in MO · 2000171394

1465 S GRAND BLVD, Saint Louis, MO 63104

Open in Google Maps ↗

Other Names 1

Former Name (1)Jenny Lynn Etling Bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny Lynn Furtak Pnp 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 Reassignments

Medicare enrollment records show Jenny Furtak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care St. Louis

4.0 mi

Emergency Medicine

6420 CLAYTON RD
Saint Louis, MO 63117

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

NPI 1366400855 (314) 768-8000

Ssm Cardinal Glennon Childrens Hospital

13 mi

Pediatrics

2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139

Reassigned Medicare billing, Missouri enrollment
Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
414 clinicians in this Medicare group

NPI 1073568226 (314) 268-4070

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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.

DR. SARAH MARGARET HANLY PH.D.

Psychologist (Clinical)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5667

KAVIPRIYA KOMESWARAN

Pediatrics (Pediatric Critical Care Medicine)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 617-2000

ALEXIS HAAS STEWART

Anesthesiologist Assistant

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 977-5700

NATALIE DRURY RD, LD

Dietitian, Registered (Nutrition, Pediatric)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5387

MS. MASHAL AZIZ RANA MBBS

Student in an Organized Health Care Education/Training Program

1465 S GRAND BLVD
ST.LOUIS, MO 63104

St. Louis City (314) 577-5382

TIMOTHY J KUTZ MD

Pediatrics (Child Abuse Pediatrics)

1465 S GRAND BLVD
SAINT LOUIS, MO 63104

St. Louis City (314) 268-6406

CHRISTOPHER SALLEE MD

Pediatrics

1465 S GRAND BLVD
ST. LOUIS, MO 63104

St. Louis City (314) 577-1607

AMBER GRANA DO

Pediatrics (Pediatric Critical Care Medicine)

1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104

St. Louis City (314) 577-5695

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 Jenny Furtak's NPI number?

The NPI number for Jenny Furtak is 1720265077. It was assigned to this individual provider in the NPPES registry on January 29, 2008. The provider is also known as Jenny Lynn Etling Bs.

Where is Jenny Furtak located?

Jenny Furtak practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-5606.

What is Jenny Furtak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jenny Furtak enrolled in Medicare?

Yes. Jenny Furtak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jenny Furtak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Furtak reassigns Medicare benefits to 2 organizations: Ssm Health Care St. Louis (Saint Louis, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenny Furtak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenny Furtak accept?

Health plans from Anthem Blue Cross and Blue Shield list Jenny Furtak 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.

When was this NPI record last updated?

The NPPES record for Jenny Furtak was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.