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

Jacqueline Medintz Elias, FNP

Individual provider Nurse Practitioner · NPI 1588102099

Jacqueline Medintz Elias, FNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2015, 11 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2017
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3009 N Ballas Rd Ste 383C
Saint Louis, MO 63131-2324
Phone: (314) 996-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 — (314) 434-1500

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2016019103 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2016019103 (MO)

Record details

NPI number1588102099
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 3, 2017
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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