JENNIFER SUE ROBERTS D.O.
NPI 1417157546
Emergency Medicine in Peoria, IL

Q: What is Jennifer Roberts's NPI number?

The NPI number for Jennifer Roberts is 1417157546. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Q: What is Jennifer Roberts's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Roberts was last updated on July 18, 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.

Active since July 18, 2007PECOS EnrolledAccepts Medicare Assignment

530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2000 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jennifer Sue Roberts D.o. NPPES

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

JENNIFER SUE ROBERTS D.O. (NPI 1417157546) is an individual emergency medicine provider in Peoria, Illinois and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1417157546

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameJENNIFER SUE ROBERTSCredential: D.O.

Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001

Mailing Address2414 W Sherman AveWest Peoria, IL 61604-5460 · (309) 453-7887

Phone(309) 655-2000

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 18, 2007

✔ NPI 1417157546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

530 NE GLEN OAK AVE, Peoria, IL 61637

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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 and accepts Medicare assignment

Jennifer Sue Roberts D.o. 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 ID2769516368

PECOS Enrollment IDI20100824000495

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 Jennifer Roberts reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Epss, LLC- Metro Series

0.3 mi

Emergency Medicine

221 NE GLEN OAK AVE
Peoria, IL 61636

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

NPI 1124782305 (309) 672-5522

Methodist Medical Center Of Illinois

0.3 mi

Emergency Care

221 NE GLEN OAK AVE
Peoria, IL 61636

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

NPI 1265966048 (309) 672-5522

Epss Peoria LLC

3.5 mi

Emergency Medicine

5409 N KNOXVILLE AVE, ER DEPARTMENT
Peoria, IL 61614

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

NPI 1831421056 (309) 689-8603

Epss LLC - Central Series

9.9 mi

Emergency Medicine

600 S 13TH ST
Pekin, IL 61554

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

NPI 1538680467 (817) 451-4208

Pekin Memorial Hospital

9.9 mi

General Acute Care Hospital

600 S 13TH ST
Pekin, IL 61554

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

NPI 1245227479 (309) 347-1151

Graham Hospital Association

15 mi

Rural Health

201 E MAIN ST
Glasford, IL 61533

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

NPI 1104604529 (309) 647-0201

Carle Health Medical Group

83 mi

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Carle Health Care Incorporated
2,516 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

Mercy Clinic Springfield Communities

315 mi

Family Medicine

3231 S NATIONAL AVE STE 220
Springfield, MO 65807

Reassigned Medicare billing, Missouri enrollment
1,565 clinicians in this Medicare group

NPI 1245277631 (855) 420-7900

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 4

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

328 services284 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

175 services164 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

104 services100 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

17 services16 patients

Hospital Affiliations CMS Care Compare

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140001

Location210 West Walnut StreetCanton, IL 61520 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 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 20

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

DR. HAMID MAHMOOD ZIA M.D

Pathology (Anatomic Pathology & Clinical Pathology)

530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637

Peoria County (309) 624-9011

THOMAS JAMES MCMORROW MD

Pediatrics