RETUNDA JACKSON- PHIFFER
NPI 1285469148
Nurse Practitioner - Psychiatric/Mental Health in Granite City, IL

Q: What is Retunda Jackson- Phiffer's NPI number?

The NPI number for Retunda Jackson- Phiffer is 1285469148. It was assigned to this individual provider in the NPPES registry on September 2, 2024.

Q: What is Retunda Jackson- Phiffer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 02, 2024PECOS EnrolledAccepts Medicare Assignment

2166 MADISON AVE, GRANITE CITY, IL 62040(618) 452-3301 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2024, Sep 2, 2024 (2 updates tracked since 2024).

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About Retunda Jackson- Phiffer NPPES

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

RETUNDA JACKSON- PHIFFER (NPI 1285469148) is an individual psychiatric/mental health provider in Granite City, Illinois, licensed in Illinois (209030994) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1285469148

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameRETUNDA JACKSON- PHIFFER

Location Address2166 MADISON AVEGranite City, IL 62040-4700

Mailing Address201 Todd LnBelleville, IL 62221-5751

Phone(618) 452-3301

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 2, 2024

Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1285469148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209030994

2166 MADISON AVE, Granite City, IL 62040

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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

Retunda Jackson- Phiffer 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 ID5890219927

PECOS Enrollment IDI20250409003643, I20260615002037

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 Retunda Jackson- Phiffer reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optimum Mental Health Healing

13 mi

Psychiatric/Mental Health

208 W POINTE DR STE B
Swansea, IL 62226

Reassigned Medicare billing, Illinois and Missouri enrollments
7 clinicians in this Medicare group

NPI 1265179477 (618) 641-3588

Mercy Clinic Adult Hospitalists - St. Louis, LLC

16 mi

Internal Medicine

621 S NEW BALLAS RD, SUITE 3016-B
Saint Louis, MO 63141

Reassigned Medicare billing, Missouri enrollment
326 clinicians in this Medicare group

NPI 1841235108 (314) 251-6339

St Anthonys Physician Organization Hospitalist Services, L.C.

19 mi

Hospitalist

10010 KENNERLY RD, 3 SOUTHBRIDGE
Saint Louis, MO 63128

Reassigned Medicare billing, Missouri enrollment
Medicare enrollment name: St Anthonys Physician Organization Hospitalist Services Lc
340 clinicians in this Medicare group

NPI 1407216336 (314) 525-1328

Mercy Clinic Adult Hospitalists- Jefferson, LLC

37 mi

Internal Medicine

1400 US HIGHWAY 61
Festus, MO 63028

Reassigned Medicare billing, Missouri enrollment
299 clinicians in this Medicare group

NPI 1083052492 (314) 364-4200

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 62040 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.

Other Providers at the Same Location NPPES 14

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

DR. KELLY M FARROLL MD

Family Medicine