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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACQUELINE DALE STUBER MD
NPI 1750887766
Surgery - Vascular Surgery in Saint Louis, MO

Active since March 30, 2018PECOS EnrolledAccepts Medicare Assignment
12634 OLIVE BLVD, DIV SURG VASCULAR, SAINT LOUIS, MO 63141(314) 273-7373(888) 840-6225 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Mar 30, 2018 (2 updates tracked since 2018).

About Dr. Jacqueline Dale Stuber Md NPPES

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

DR. JACQUELINE DALE STUBER MD (NPI 1750887766) is an individual vascular surgery provider in Saint Louis, Missouri, licensed in Missouri (2025030569) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750887766
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameDR. JACQUELINE DALE STUBERCredential: MD
Location Address12634 OLIVE BLVD, DIV SURG VASCULARSaint Louis, MO 63141-6337
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 273-7373 · Fax (888) 840-6225
Phone(314) 273-7373
Fax(888) 840-6225
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 30, 2018
Last NPPES UpdateJune 22, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1750887766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MO · 2025030569
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 2025030569 (MO)
12634 OLIVE BLVD, Saint Louis, MO 63141
Open in Google Maps ↗

Other Identifiers 1

Medicaid200163041MO

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. Jacqueline Dale Stuber Md 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 ID2769731447
PECOS Enrollment IDI20250814002148
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.

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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.

MS. MARY KATHERINE KINWORTHY CRNA
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
St. Louis County (800) 862-9980
BC MISSOURI EMERGENCY PHYSICIANS, LLP
Emergency Medicine
12634 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 434-0600
MR. MICHAEL MCCAMLEY CRNA
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 996-8685
DR. ALBERT M COHEN MD
Anesthesiology
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
St. Louis County (800) 862-9980
AMY MARIE BAUER MAE, BSN, RN, CRNFA
Registered Nurse (Registered Nurse First Assistant)
12634 OLIVE BLVD
CREVE COEUR, MO 63141
St. Louis County (314) 996-8000
MS. SUSAN M ANDERSON CRNA
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
St. Louis County (800) 862-9980
MS. RACHEL JEANNINE HINCHCLIFF CRNA
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
St. Louis County (800) 862-9980
ALYSSA BJERK NP-C
Nurse Practitioner (Family)
12634 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 362-4468

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 Jacqueline Stuber's NPI number?

The NPI number for Jacqueline Stuber is 1750887766. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Jacqueline Stuber located?

Jacqueline Stuber practices at 12634 Olive Blvd Div Surg Vascular, Saint Louis, MO 63141. The listed phone number is (314) 273-7373.

What is Jacqueline Stuber's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Jacqueline Stuber enrolled in Medicare?

Yes. Jacqueline Stuber 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 Jacqueline Stuber affiliated with any hospitals?

According to CMS data, Jacqueline Stuber is affiliated with Barnes Jewish Hospital, Missouri Baptist Medical Center and Barnes-Jewish West County Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Stuber was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.