JESSE ESTRADA FNP
NPI 1871368522
Nurse Practitioner - Family in Saint Louis, MO
About Jesse Estrada Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE ESTRADA FNP (NPI 1871368522) is an individual family provider in Saint Louis, Missouri, licensed in Kansas (5382693021) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jesse Estrada Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jesse Estrada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wichita, KS 67202
- Reassigned Medicare billing, Kansas enrollment
- 260 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 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.
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.
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
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 Jesse Estrada's NPI number?
The NPI number for Jesse Estrada is 1871368522. It was assigned to this individual provider in the NPPES registry on November 21, 2023.
Where is Jesse Estrada located?
Jesse Estrada practices at 650 Maryville University Dr, Saint Louis, MO 63141. The listed phone number is (188) 826-6057.
What is Jesse Estrada's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jesse Estrada enrolled in Medicare?
Yes. Jesse Estrada is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jesse Estrada's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Estrada reassigns Medicare benefits to Signify Health Medical Associates Of Kansas LLC (Wichita, KS). The 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 Jesse Estrada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jesse Estrada was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Jesse Estrada, FNP · NPI 1871368522
Family physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since November 21, 2023.
## Identity
- **NPI:** 1871368522 (Entity type: Individual)
- **Enumerated:** November 21, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5382693021 (Kansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 650 MARYVILLE UNIVERSITY DR, Saint Louis, MO 63141-7299
- **Phone:** (188) 826-6057
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health Medical Associates Of Kansas LLC (NPI 1780261701, Wichita, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1871368522) · Data from the CMS NPPES public registry.