JESSICA E. EBSWORTH APRN-CNM
NPI 1790392991
Advanced Practice Midwife in Sullivan, MO
About Jessica E. Ebsworth Aprn-cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA E. EBSWORTH APRN-CNM (NPI 1790392991) is an individual advanced practice midwife in Sullivan, Missouri, licensed in Missouri (2020032284) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica E. Ebsworth Aprn-cnm 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jessica Ebsworth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sullivan, MO 63080
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1396827408 (Missouri)
- 76 clinicians in this Medicare group
Saint Louis, MO 63131
- Reassigned Medicare billing, Missouri enrollment
- 82 clinicians in this Medicare group
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 63080 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 20
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 Jessica Ebsworth's NPI number?
The NPI number for Jessica Ebsworth is 1790392991. It was assigned to this individual provider in the NPPES registry on September 30, 2020. The provider is also known as Jessica Altman.
Where is Jessica Ebsworth located?
Jessica Ebsworth practices at 965 Mattox Dr, Sullivan, MO 63080. The listed phone number is (573) 860-6000.
What is Jessica Ebsworth's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Jessica Ebsworth enrolled in Medicare?
Yes. Jessica Ebsworth 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.
Which organizations bill Medicare for Jessica Ebsworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Ebsworth reassigns Medicare benefits to 2 organizations: Missouri Baptist Hospital Of Sullivan (Sullivan, MO) and Missouri Baptist Medical Center (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 Jessica Ebsworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Ebsworth accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Jessica Ebsworth 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 Ebsworth was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Jessica E. Ebsworth, APRN-CNM · NPI 1790392991
Advanced Practice Midwife physician in Sullivan, Missouri. Individual provider, active in the CMS NPPES registry since September 30, 2020.
## Identity
- **NPI:** 1790392991 (Entity type: Individual)
- **Enumerated:** September 30, 2020
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 2020032284 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 965 MATTOX DR, Sullivan, MO 63080-2365
- **Phone:** (573) 860-6000 · **Fax:** (573) 860-6016
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Missouri Baptist Hospital Of Sullivan (NPI 1235228222, Sullivan, MO); Missouri Baptist Medical Center (NPI 1467461434, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790392991) · Data from the CMS NPPES public registry.