DR. JENNIFER ANNE LOETHEN M.D.
NPI 1205039955
Pediatrics in Maryville, IL

Q: What is Jennifer Loethen's NPI number?

The NPI number for Jennifer Loethen is 1205039955. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Q: What is Jennifer Loethen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Loethen was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 08, 2007PECOS Enrolled

5 PROFESSIONAL PARK DR, MARYVILLE, IL 62062(618) 876-2924 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jennifer Anne Loethen M.d. NPPES

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

DR. JENNIFER ANNE LOETHEN M.D. (NPI 1205039955) is an individual pediatrics provider in Maryville, Illinois, licensed in Illinois (036121965) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205039955

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. JENNIFER ANNE LOETHENCredential: M.D.

Location Address5 PROFESSIONAL PARK DRMaryville, IL 62062-5621

Mailing Address3165 Myrtle AveGranite City, IL 62040-5012 · (309) 648-6024

Phone(618) 876-2924

Sole ProprietorYes

Enumeration DateJune 8, 2007

Last NPPES UpdateJune 22, 2010

✔ NPI 1205039955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036121965

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5 PROFESSIONAL PARK DR, Maryville, IL 62062

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Other Identifiers 1

Medicaid036121965IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer Anne Loethen M.d. 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 62062 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.

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 Loethen's NPI number?

The NPI number for Jennifer Loethen is 1205039955. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Jennifer Loethen located?

Jennifer Loethen practices at 5 Professional Park Dr, Maryville, IL 62062. The listed phone number is (618) 876-2924.

What is Jennifer Loethen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jennifer Loethen enrolled in Medicare?

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

What insurance does Jennifer Loethen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Jennifer Loethen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Loethen was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.