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

Jacob Bast

Individual provider Medical Physician Assistant · NPI 1194296186

Jacob Bast is a Physician Assistant in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 2019, 7 years ago. Practices with Mercy Clinic Adult Critical Care LLC, a 59-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2018

Practice location Address checks out

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (314) 525-1000
Show map & directions

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

Additional practice locations (1)

  • 6439 Fordyce Bluffs Dr, Saint Louis, MO 63129-5062 — (314) 933-6577

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2020005531 (MO)

Record details

NPI number1194296186
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESMarch 15, 2020
Certification dateMarch 15, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Mercy Clinic Adult Critical Care Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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