JENNIFER SOUTHWARD CPNP
NPI 1790100089
Nurse Practitioner - Pediatrics in Cottleville, MO
About Jennifer Southward Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER SOUTHWARD CPNP (NPI 1790100089) is an individual pediatrics provider in Cottleville, Missouri, licensed in Missouri (2013037116) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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)
Jennifer Southward Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
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 Jennifer Southward's NPI number?
The NPI number for Jennifer Southward is 1790100089. It was assigned to this individual provider in the NPPES registry on February 24, 2014. The provider is also known as Jennifer Oldham Pnp.
Where is Jennifer Southward located?
Jennifer Southward practices at 4525 Mid Rivers Mall Dr Ste 40, Cottleville, MO 63376. The listed phone number is (636) 229-3370.
What is Jennifer Southward's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jennifer Southward enrolled in Medicare?
Yes. Jennifer Southward is registered in the Medicare PECOS enrollment system.
What insurance does Jennifer Southward accept?
Health plans from Anthem Blue Cross and Blue Shield and Medica list Jennifer Southward 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 Jennifer Southward was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
