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MS. JENNIFER SOUCIE R.D., LDN
NPI 1154516193
Dietitian, Registered in Macomb, IL

Active since September 12, 2007
1600 E JACKSON ST, MACOMB, IL 61455(309) 837-9917 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Jennifer Soucie R.d., Ldn NPPES

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

MS. JENNIFER SOUCIE R.D., LDN (NPI 1154516193) is an individual dietitian, registered in Macomb, Illinois and active in the NPI registry since September 2007. She is affiliated with Memorial Hospital and is a graduate of Other (1985).

NPPES Registry Identity

NPI1154516193
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. JENNIFER SOUCIECredential: R.D., LDN
Location Address1600 E JACKSON STMacomb, IL 61455-2530
Mailing Address1600 E Jackson StMacomb, IL 61455-2530 · (309) 837-9917
Phone(309) 837-9917
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateSeptember 12, 2007
✔ NPI 1154516193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1600 E JACKSON ST, Macomb, IL 61455
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jennifer Soucie R.d., Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799280236
PECOS Enrollment IDI20250925000446

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Soucie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorial Hospital Association
8.0 mi
Rural Health
110 E MARKET ST
Colchester, IL 62326
  • Reassigned Medicare billing, Illinois enrollment
  • 78 clinicians in this Medicare group
NPI 1699228882 (309) 776-3301

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital

Critical Access Hospitals · Carthage, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141305
Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County
Emergency services

Other Providers at the Same Location NPPES 9

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

BRITTANY FIGGE RD, LDN
Dietitian, Registered
1600 E JACKSON ST
MACOMB, IL 61455
McDonough County (309) 837-9917
MCDONOUGH COUNTY HOSPITAL DISTRICT
Clinic/Center
1600 E JACKSON ST
MACOMB, IL 61455
McDonough County (309) 833-4101
DR. KASSANDRA MASON PHARMD.
Pharmacist
1600 E JACKSON ST
MACOMB, IL 61455
McDonough County (309) 833-3750
DR. KYLE GARRETT PHARM.D
Pharmacist
1600 E JACKSON ST
MACOMB, IL 61455
McDonough County (309) 833-3750
HY-VEE INC
Pharmacy (Community/Retail Pharmacy)
1600 E JACKSON ST
MACOMB, IL 61455
McDonough County (309) 833-3750
CHARLOTTE JEAN CLARK PHARMD
Pharmacist
1600 E JACKSON ST
MACOMB, IL 61455
McDonough County (309) 833-3750
MR. MICHAEL CLAYTON BURGARD RPH
Pharmacist
1600 E JACKSON ST
MACOMB, IL 61455
McDonough County (309) 833-3750
SUSAN ADAMS RN, APN
Nurse Practitioner
1600 E JACKSON ST
MACOMB, IL 61455
McDonough County (309) 833-4101

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 Soucie's NPI number?

The NPI number for Jennifer Soucie is 1154516193. It was assigned to this individual provider in the NPPES registry on September 12, 2007.

Where is Jennifer Soucie located?

Jennifer Soucie practices at 1600 E Jackson St, Macomb, IL 61455. The listed phone number is (309) 837-9917.

What is Jennifer Soucie's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jennifer Soucie enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Soucie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Soucie reassigns Medicare benefits to Memorial Hospital Association (Colchester, 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 Jennifer Soucie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jennifer Soucie affiliated with any hospitals?

According to CMS data, Jennifer Soucie is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Soucie was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.