Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Donna Baudendistel

Individual provider Nurse Practitioner · NPI 1417904624

Donna Baudendistel is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2003, 23 years ago. Practices with Jn Wellness Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
23
Licensed in
MO
In the registry since
2006

Practice location Address checks out

6071 Telegraph Rd
Saint Louis, MO 63129-4758
Phone: (314) 846-9265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 069563 (MO)

Record details

NPI number1417904624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESJuly 8, 2007
Mailing address161 Washington St, 14th Floor, Suite 1400, Conshohocken, PA 19428-2083

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Jn Wellness Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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