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

Jaime Lee Shoemaker, ANP

Individual provider Nurse Practitioner · NPI 1861108185

Jaime Lee Shoemaker, ANP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2020, 6 years ago. Offers telehealth. Licensed in Illinois and Missouri.

Years since qualifying
6
Licensed in
IL, MO
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

625 S New Ballas Rd
Saint Louis, MO 63141-8240
Phone: (314) 251-0175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2023014336 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 209027371 (IL)

Record details

NPI number1861108185
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedJanuary 30, 2023
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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