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

Mr. Jacob James Crust, FNP

Individual provider Family Nurse Practitioner · NPI 1508236555

Mr. Jacob James Crust, FNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2015, 11 years ago. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2015
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

1 Childrens Pl Div Ped Emergency Med
Saint Louis, MO 63110-1002
Phone: (314) 454-2341
Fax: (314) 454-4345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2015035376 (MO)

Record details

NPI number1508236555
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 2, 2015
Last updated in NPPESDecember 16, 2025
Certification dateOctober 27, 2025

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)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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