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MARLEY JACKSON NP
NPI 1730079310
Nurse Practitioner in Saint Peters, MO

Active since July 07, 2025PECOS EnrolledAccepts Medicare Assignment
70 JUNGERMANN CIR STE 300, SAINT PETERS, MO 63376(636) 916-7060 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2025, Jul 7, 2025 (2 updates tracked since 2025).

About Marley Jackson Np NPPES

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

MARLEY JACKSON NP (NPI 1730079310) is an individual nurse practitioner in Saint Peters, Missouri, licensed in Missouri (2025018317) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Barnes-jewish St Peters Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1730079310
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARLEY JACKSONCredential: NP
Location Address70 JUNGERMANN CIR STE 300Saint Peters, MO 63376-1637
Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (636) 916-7060 · Fax (636) 916-9421
Phone(636) 916-7060
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 7, 2025
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1730079310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2025018317
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
70 JUNGERMANN CIR STE 300, Saint Peters, MO 63376
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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

Marley Jackson Np 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 ID8527560358
PECOS Enrollment IDI20250909002145
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

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

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260191
Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63376 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

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

CRYSTAL RENEE WORSENA DO
Psychiatry & Neurology (Neurology)
70 JUNGERMANN CIR STE 300
SAINT PETERS, MO 63376
St. Charles County (636) 916-7060

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 Marley Jackson's NPI number?

The NPI number for Marley Jackson is 1730079310. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Where is Marley Jackson located?

Marley Jackson practices at 70 Jungermann Cir Ste 300, Saint Peters, MO 63376. The listed phone number is (636) 916-7060.

What is Marley Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marley Jackson enrolled in Medicare?

Yes. Marley Jackson 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 Marley Jackson affiliated with any hospitals?

According to CMS data, Marley Jackson is affiliated with Barnes-Jewish St Peters Hospital.

When was this NPI record last updated?

The NPPES record for Marley Jackson was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.