JENNIFER L. ETLING MD – NPI #1528020328
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Health Care Provider Taxonomy Code for Surgery

JENNIFER ETLING is a surgeon located in SAINT PETERS, MO. NPPES has assigned the NPI number 1528020328 to JENNIFER ETLING on April 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name JENNIFER L DELAMIELLEURE. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 4 years ago on Jan 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JENNIFER ETLING below.

NPI Profile for
JENNIFER L. ETLING

NPI Number
1528020328
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JENNIFER L. ETLING
Former Name: JENNIFER L DELAMIELLEURE
Credentials
MD
Primary location
6 JUNGERMANN CIRCLE
STE 205
SAINT PETERS, MO 63376
Phone: (636) 441-2122 Fax: (636) 441-5290
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jan 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JENNIFER ETLING

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA7986366
OTHERBLUE CHOICE165817
OTHERBLUE SHIELD165817
OTHERESSENCE12593
OTHEREXCLUSIVE CHOICE017283
OTHERGHP231210
OTHERHEALTHLINK487573
OTHERMEDICARE ARKANSASM6725
OTHERMERCYH74520
OTHERPRODENTIAL4309109800
OTHERRAILROAD MEDICAREP00195292
OTHERUNITED HEALTHCARE1700267
MEDICAIDMO209370105
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)		 MO 2005000203

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
BJC
Content Type
CSV
Affiliation
N
Endpoint Location
6 JUNGERMANN CIRCLE,
ST PETERS, MO 77025-1669

Additional Information

Education
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE - Graduated 1997
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JENNIFER ETLING is affiliated with the following medical group(s):
  • HOSPITAL
    • BARNES-JEWISH ST PETERS HOSPITAL
      10 HOSPITAL DR
      SAINT PETERS, MO 63376
    • PROGRESS WEST HOSPITAL
      2 PROGRESS POINT PKWY
      O FALLON, MO 63368

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.