JEANETTA STOMER – Family Nurse Practitioner, NPI 1609319144

JEANETTA STOMER is a healthcare provider. based in Florissant, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2004029626 (MO). The NPI Number for JEANETTA STOMER is 1609319144

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JEANETTA STOMER
NPI
1609319144
Phone
Not provided
Address
3391 N HIGHWAY 67
Enumeration Date
1 December 2016
Last Update Date
28 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5043527556
Graduation Year
2017 (9 years ago)
PAC ID
6507128014
Group Practice PAC ID
9830557875
Professional Enrollment ID
I20180321002370
Address ID
MO63108XXXXSAXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for JEANETTA STOMER

  • 3391 N HIGHWAY 67

    FLORISSANT, MO 630331604

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $85.

Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.

Last reported payment date: 2023-01-25 • Largest payer in this snapshot: ABBVIE INC. ($85).

Total Amount

$85

General + Research + Ownership

Payments

1

Total payment records

General Amount

$85

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$85
View all Open Payments →|Open Payments Risk Radar →

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: 2018-03-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180321002370INurse PractitionerMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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 63033)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830557875View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for JEANETTA STOMER?
JEANETTA STOMER — NPI 1609319144 — is the standard way to identify this listing.
Does the file indicate JEANETTA STOMER is practicing under active NPI?
Directory data currently reports JEANETTA STOMER as active.
What is JEANETTA STOMER's primary classification?
Family Nurse Practitioner is the headline specialty for JEANETTA STOMER here. Clinical services aligned with this taxonomy classification.
What address line appears for JEANETTA STOMER?
JEANETTA STOMER's geographic hint is Florissant, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

670, Mason Ridge Center Drive, Town and Country, Saint Louis County, Missouri, 63141, United States
NPI: 1972502870

GWENDOLYN MARIE ROBINSON (F.N.P.)

Family Nurse Practitioner
1049 REDEMPTION WAY
NPI: 1801823075

MRS. STEPHANIE LEE ANN WEST (ANP)

Adult Health Nurse Practitioner
1255 GRAHAM RD
NPI: 1710005236

DELORES B WARE

Family Nurse Practitioner
11935 KINGSHEAD DRIVE
NPI: 1255453486

ROSEMARY GAERTNER (NP)

Family Nurse Practitioner
1120, Shackelford Road, Florissant, Saint Louis County, Missouri, 63031, United States
NPI: 1235332727

MRS. DONNA C NAUMANN (FNP)

Family Nurse Practitioner
506 IMPERIAL DR
NPI: 1538335831
47, Pricewoods Lane, Olivette, Saint Louis County, Missouri, 63132, United States
NPI: 1497905590

ALBERTA PETERS HERRON (ARNP)

Family Nurse Practitioner
U.S. Realty Capital, 161, Washington Street, Conshohocken, Montgomery County, Pennsylvania, 19428, United States
NPI: 1306099650

MRS. DELORES CALMESE (FNP)

Family Nurse Practitioner
906 BLANDING BLVD
NPI: 1477708816