ABIGAIL LEE JERAULD APRN-CNP
NPI 1922430248
Registered Nurse - Neonatal Intensive Care in Saint Louis, MO

Q: What is the provider's specialty?

The provider's specialty is Registered Nurse with taxonomy code 163WN0002X and a focus in Neonatal Intensive Care.

Active since August 09, 2013PECOS Enrolled

1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-5631 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Abigail Lee Jerauld Aprn-cnp NPPES

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

ABIGAIL LEE JERAULD APRN-CNP (NPI 1922430248) is an individual neonatal intensive care provider in Saint Louis, Missouri, licensed in Missouri (2005027592) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922430248

Entity TypeIndividualFemale

Primary Taxonomy163WN0002X

Provider Legal NameABIGAIL LEE JERAULDCredential: APRN-CNP

Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003

Mailing Address608 Old State Place DrWildwood, MO 63038-2320 · (636) 236-4637

Phone(314) 577-5631

Sole ProprietorNo

Enumeration DateAugust 9, 2013

Last NPPES UpdateNovember 12, 2020

NPPES CertifiedNovember 12, 2020

✔ NPI 1922430248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Neonatal Intensive CareNursing Service Providers

Taxonomy Code163WN0002X

License✔ Licensed in MO · 2005027592

1465 S GRAND BLVD, Saint Louis, MO 63104

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abigail Lee Jerauld Aprn-cnp 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.