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

Jodi Alise Martin

Individual provider Physician Assistant · NPI 1740734730

Jodi Alise Martin is a Physician Assistant in Chesterfield, Missouri. Qualified in 2016, 10 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2016
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Practice location Address checks out

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone: (636) 735-4755
Fax: (636) 237-4133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2016033266 (MO)

Record details

NPI number1740734730
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2016
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mercy Clinic East Communities — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Chesterfield