MRS. JACQUELINE E. MARSTALL (PA-C) – Physician Assistant, NPI 1457527343
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
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Provider Addresses for MRS. JACQUELINE E. MARSTALL (PA-C)
2121 HOMEFIELD RIDGE CT
O FALLON, MO 633664757
Phone: (636) 240-3529
Type: Mailing
2175, Charbonier Road, Florissant, Saint Louis County, Missouri, 63031, United States
FLORISSANT, MO 630315566
Phone: (314) 831-5999
Fax: (314) 831-9434
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $839.
Total Amount is formed as General ($839) + Research ($0) + Ownership ($0) = $839.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($242).
Total Amount
$839
General + Research + Ownership
Payments
69
Total payment records
General Amount
$839
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-06-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110616000162 | I | Physician Assistant | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63366)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Physical Medicine And Rehabilitation, Physical Medicine And Rehabilitation, Pain Management | MO | |
| Pain Management, Anesthesiology | MO | |
| Family Practice | MO |
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