JACQUELINE DEFFENBAUGH APN, WHNP
NPI 1174535306
Nurse Practitioner - Women's Health in Bloomington, IL

Q: What is Jacqueline Deffenbaugh's NPI number?

The NPI number for Jacqueline Deffenbaugh is 1174535306. It was assigned to this individual provider in the NPPES registry on August 13, 2006. The provider is also known as Jackie Deffenbaugh Apn, Whnp.

Q: What is Jacqueline Deffenbaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment

2304 STERN DR, BLOOMINGTON, IL 61704(309) 663-0411(309) 662-2018 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jacqueline Deffenbaugh Apn, Whnp NPPES

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

JACQUELINE DEFFENBAUGH APN, WHNP (NPI 1174535306) is an individual women's health provider in Bloomington, Illinois, licensed in Illinois (277000799) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1174535306

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameJACQUELINE DEFFENBAUGHCredential: APN, WHNP

Location Address2304 STERN DRBloomington, IL 61704-4487

Mailing Address2304 Stern DrBloomington, IL 61704-4487 · (309) 663-0411 · Fax (309) 662-2018

Phone(309) 663-0411

Fax(309) 662-2018

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateAugust 13, 2006

Last NPPES UpdateApril 22, 2025

NPPES CertifiedApril 22, 2025

✔ NPI 1174535306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in IL · 277000799

2304 STERN DR, Bloomington, IL 61704

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Other Names 1

Professional Name (2)Jackie Deffenbaugh Apn, Whnp

Other Identifiers 1

Other216064Medicare Group Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Jacqueline Deffenbaugh Apn, Whnp 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.

PECOS PAC ID3072587997

PECOS Enrollment IDI20040825000494

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.

Medicare Billing Reassignments

Medicare enrollment records show Jacqueline Deffenbaugh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Womens Healthcare Sc

0.7 mi

Obstetrics & Gynecology

2111 E OAKLAND AVE, SUITE B
Bloomington, IL 61701

Reassigned Medicare billing, Illinois enrollment
8 clinicians in this Medicare group

NPI 1376890426 (309) 808-3068

Osf Multi-Specialty Group

43 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1922445527 (309) 683-5050

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

Areas of Expertise CMS Part B claims 5

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 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.

227 services150 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

67 services67 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

31 services24 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

14 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140127

Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County

Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140162

Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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.

Other Providers at the Same Location NPPES 5

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

ASSOCIATES IN OBSTETRICS & GYNECOLOGY SC

Obstetrics & Gynecology