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MRS. JAMIE HULTGREN FNP-BC
NPI 1114563368
Nurse Practitioner in Carbondale, IL

Active since November 22, 2019PECOS Enrolled
75.73/100
CMS Quality Rating
1237 E MAIN ST STE C1, CARBONDALE, IL 62901(618) 457-2281(618) 529-0573 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2021, Feb 8, 2021, Feb 14, 2020 and 3 more (6 updates tracked since 2019).

About Mrs. Jamie Hultgren Fnp-bc NPPES

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

MRS. JAMIE HULTGREN FNP-BC (NPI 1114563368) is an individual nurse practitioner in Carbondale, Illinois, licensed in Illinois (209020583) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Carterville.

NPPES Registry Identity

NPI1114563368
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JAMIE HULTGRENCredential: FNP-BC
Location Address1237 E MAIN ST STE C1Carbondale, IL 62901-3148
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Phone(618) 457-2281
Fax(618) 529-0573
Sole ProprietorNo
Enumeration DateNovember 22, 2019
Last NPPES UpdateJuly 13, 20216 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1114563368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209020583
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.385120 (IL)
1237 E MAIN ST STE C1, Carbondale, IL 62901
Open in Google Maps ↗

Secondary Practice Location 1

Location 110524 Fleming RdCarterville, IL 62918-3348 · Phone (217) 690-9495

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jamie Hultgren Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.09
Promoting Interoperability100
Improvement Activities40
Cost45.26

Other Providers at the Same Location NPPES

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

EMILY LYNNE ZURLIENE PA-C
Physician Assistant
1237 E MAIN ST STE C1
CARBONDALE, IL 62901
Jackson County (618) 457-2281

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 Jamie Hultgren's NPI number?

The NPI number for Jamie Hultgren is 1114563368. It was assigned to this individual provider in the NPPES registry on November 22, 2019.

Where is Jamie Hultgren located?

Jamie Hultgren practices at 1237 E Main St Ste C1, Carbondale, IL 62901. The listed phone number is (618) 457-2281.

What is Jamie Hultgren's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jamie Hultgren enrolled in Medicare?

Yes. Jamie Hultgren is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jamie Hultgren was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.