MS. JEWEL RADFORD RN
NPI 1083397202
Nurse Practitioner - Family in East Saint Louis, IL
About Ms. Jewel Radford Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JEWEL RADFORD RN (NPI 1083397202) is an individual family provider in East Saint Louis, Illinois, licensed in Illinois (209.031195) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (2024).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Jewel Radford Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jewel Radford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Saint Louis, IL 62201
- Reassigned Medicare billing, Illinois enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
EAST SAINT LOUIS, IL 62201
EAST SAINT LOUIS, IL 62201
EAST SAINT LOUIS, IL 62201
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 Jewel Radford's NPI number?
The NPI number for Jewel Radford is 1083397202. It was assigned to this individual provider in the NPPES registry on August 14, 2023.
Where is Jewel Radford located?
Jewel Radford practices at 601 James R Thompson Blvd Ste 2015, East Saint Louis, IL 62201. The listed phone number is (618) 482-6959.
What is Jewel Radford's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jewel Radford enrolled in Medicare?
Yes. Jewel Radford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jewel Radford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jewel Radford reassigns Medicare benefits to Board Of Trustees Of Southern Illinois University (East Saint Louis, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jewel Radford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jewel Radford was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Ms. Jewel Radford, RN · NPI 1083397202
Family physician in East Saint Louis, Illinois. Individual provider, active in the CMS NPPES registry since August 14, 2023.
## Identity
- **NPI:** 1083397202 (Entity type: Individual)
- **Enumerated:** August 14, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.031195 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 JAMES R THOMPSON BLVD STE 2015, East Saint Louis, IL 62201-1118
- **Phone:** (618) 482-6959
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Board Of Trustees Of Southern Illinois University (NPI 1104230168, East Saint Louis, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern Illinois University School Of Medicine, class of 2024
## Record status
- **NPPES last updated:** September 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083397202) · Data from the CMS NPPES public registry.