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DR. JESSICA MICHELLE BOOTSIE DDS
NPI 1770843740
Dentist in Twin Oaks, MO

Active since May 23, 2012PECOS Enrolled
830 MERAMEC STATION RD, TWIN OAKS, MO 63088(636) 225-4555 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Jessica Michelle Bootsie Dds NPPES

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

DR. JESSICA MICHELLE BOOTSIE DDS (NPI 1770843740) is an individual dentist in Twin Oaks, Missouri, licensed in Missouri (2012015424) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770843740
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JESSICA MICHELLE BOOTSIECredential: DDS
Location Address830 MERAMEC STATION RDTwin Oaks, MO 63088-1146
Mailing Address830 Meramec Station RdTwin Oaks, MO 63088-1146 · (636) 225-4555
Phone(636) 225-4555
Sole ProprietorNo
Enumeration DateMay 23, 2012
Last NPPES UpdateJanuary 8, 2025
NPPES CertifiedJanuary 8, 2025
✔ NPI 1770843740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2012015424
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
830 MERAMEC STATION RD, Twin Oaks, MO 63088
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Other Names 1

Former Name (1)Jessica Michelle Rudd

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Michelle Bootsie Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63088 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 3

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

TWIN OAKS DENTAL STUDIO LLC
Dentist
830 MERAMEC STATION RD
VALLEY PARK, MO 63088
St. Louis County (314) 330-2277
DANIEL A GRUMKE D.D.S.
Dentist (General Practice)
830 MERAMEC STATION RD
TWIN OAKS, MO 63088
St. Louis County (636) 225-4555
WILLIAM J HERMAN
Dentist (General Practice)
830 MERAMEC STATION RD
TWIN OAKS, MO 63088
St. Louis County (636) 225-4555

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 Jessica Bootsie's NPI number?

The NPI number for Jessica Bootsie is 1770843740. It was assigned to this individual provider in the NPPES registry on May 23, 2012. The provider is also known as Jessica Michelle Rudd.

Where is Jessica Bootsie located?

Jessica Bootsie practices at 830 Meramec Station Rd, Twin Oaks, MO 63088. The listed phone number is (636) 225-4555.

What is Jessica Bootsie's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jessica Bootsie enrolled in Medicare?

Yes. Jessica Bootsie is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Bootsie accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Jessica Bootsie 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 Jessica Bootsie was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.