Jonathan Mayberry, AGACNP-BC
NPI 1679330419 · Critical Care Medicine Nurse Practitioner · Saint Louis, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonathan Mayberry, AGACNP-BC is a Critical Care Medicine Nurse Practitioner provider in Saint Louis, MO (NPI 1679330419).
Provider details
- NPI number
- 1679330419
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 2015020871 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-02-28
- Last updated
- 2024-02-28
- Certified
- 2024-02-28
Frequently asked questions
- What is Jonathan Mayberry's NPI number?
- Jonathan Mayberry's National Provider Identifier (NPI) is 1679330419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Mayberry's specialty?
- Jonathan Mayberry is listed in the NPPES registry with a primary specialty of Critical Care Medicine Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jonathan Mayberry located?
- Jonathan Mayberry's practice location on file with NPPES is 615 S New Ballas Rd, Saint Louis, MO 63141-8221.
- What is Jonathan Mayberry's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Mayberry is (314) 251-6000.
- Does Jonathan Mayberry accept Medicare?
- Jonathan Mayberry is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonathan Mayberry's NPI active?
- Yes — Jonathan Mayberry's NPI (1679330419) is active in the NPPES registry as of the last update on 2024-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.