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JENNIFER D GUTSHALL P.A.
NPI 1073524328
Physician Assistant - Medical in Dixon, IL

Active since August 11, 2006PECOS Enrolled
215 E 1ST ST STE 215, DIXON, IL 61021(815) 285-5422(815) 285-5426 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer D Gutshall P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER D GUTSHALL P.A. (NPI 1073524328) is an individual medical provider in Dixon, Illinois, licensed in Illinois (085002531) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073524328
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER D GUTSHALLCredential: P.A.
Location Address215 E 1ST ST STE 215Dixon, IL 61021-3166
Mailing Address215 E 1st St Ste 215Dixon, IL 61021-3166 · (815) 285-5422 · Fax (815) 285-5426
Phone(815) 285-5422
Fax(815) 285-5426
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateJanuary 27, 2011
✔ NPI 1073524328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 085002531
215 E 1ST ST STE 215, Dixon, IL 61021
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Other Names 1

Former Name (1)Jennifer D Judd Pa-c

Other Identifiers 1

Other085002531IL · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer D Gutshall P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services46 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
21 services21 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims17 services$5.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$181.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHIRLEY J STONE M.D.
Obstetrics & Gynecology
215 E 1ST ST STE 215
DIXON, IL 61021
Lee County (815) 285-5420
GWEN ELLEN STRUM BSN, RN, IBCLC
Registered Nurse (Lactation Consultant)
215 E 1ST ST STE 215
DIXON, IL 61021
Lee County (815) 285-5834
DR. LAKSHMI DUNDOO M.D.
Obstetrics & Gynecology
215 E 1ST ST STE 215
DIXON, IL 61021
Lee County (815) 285-5427

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Gutshall's NPI number?

The NPI number for Jennifer Gutshall is 1073524328. It was assigned to this individual provider in the NPPES registry on August 11, 2006. The provider is also known as Jennifer D Judd Pa-C.

Where is Jennifer Gutshall located?

Jennifer Gutshall practices at 215 E 1st St Ste 215, Dixon, IL 61021. The listed phone number is (815) 285-5422.

What is Jennifer Gutshall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jennifer Gutshall enrolled in Medicare?

Yes. Jennifer Gutshall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Gutshall was last updated on January 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.