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MS. JONNELLE D SMITH PA
NPI 1487877130
Physician Assistant in Carrollton, IL

Active since April 11, 2007PECOS Enrolled
523 S MAIN ST, CARROLLTON, IL 62016(217) 942-3326(217) 942-9833 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jonnelle D Smith Pa NPPES

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

MS. JONNELLE D SMITH PA (NPI 1487877130) is an individual physician assistant in Carrollton, Illinois and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1487877130
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. JONNELLE D SMITHCredential: PA
Location Address523 S MAIN STCarrollton, IL 62016-1256
Mailing Address611 W. Park St, FapcUrbana, IL 61801
Phone(217) 942-3326
Fax(217) 942-9833
Sole ProprietorNo
Enumeration DateApril 11, 2007
Last NPPES UpdateJanuary 21, 2021
NPPES CertifiedJanuary 5, 2021
✔ NPI 1487877130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 085 002986 (IL)
523 S MAIN ST, Carrollton, IL 62016
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Secondary Practice Location 1

Location 13024 E Empire StBloomington, IL 61704-5402 · Phone (309) 454-4411

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jonnelle D Smith Pa 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 62016 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 3

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

JAMES UHLES MD
Pediatrics
523 S MAIN ST
CARROLLTON, IL 62016
Greene County (217) 942-3326
ALLISON N SAGEZ FNP-C
Nurse Practitioner (Family)
523 S MAIN ST
CARROLLTON, IL 62016
Greene County (217) 942-3326
JERSEY COMMUNITY HOSPITAL
Clinic/Center (Rural Health)
523 S MAIN ST
CARROLLTON, IL 62016
Greene County (217) 942-3326

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 Jonnelle Smith's NPI number?

The NPI number for Jonnelle Smith is 1487877130. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Where is Jonnelle Smith located?

Jonnelle Smith practices at 523 S Main St, Carrollton, IL 62016. The listed phone number is (217) 942-3326.

What is Jonnelle Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jonnelle Smith enrolled in Medicare?

Yes. Jonnelle Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonnelle Smith was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.