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MICHAEL NIEL FENNER MD
NPI 1578660445
Surgery in Jacksonville, IL

Active since September 20, 2006
1600 W WALNUT ST, JACKSONVILLE, IL 62650(217) 528-7541 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2021, May 22, 2020 (2 updates tracked since 2020).

About Michael Niel Fenner Md NPPES

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

MICHAEL NIEL FENNER MD (NPI 1578660445) is an individual surgery provider in Jacksonville, Illinois, licensed in Illinois (036080188) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1578660445
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL NIEL FENNERCredential: MD
Location Address1600 W WALNUT STJacksonville, IL 62650-1136
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Phone(217) 528-7541
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 4, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1578660445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IL · 036080188✔ Licensed in AK · 5616
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1600 W WALNUT ST, Jacksonville, IL 62650
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Other Identifiers 2

OtherR01571IL · Medicare Ptan
MedicaidMD3077AK

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.

HEALTHCARE NETWORK ASSOCIATES
Clinic/Center (Multi-Specialty)
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-5437
PATRICIA HOBSON
Physical Therapist
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-9541
HEALTHCARE NETWORK ASSOCIATES OF SANGAMON
Pediatrics
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-5437
JEFFREY L OLEJNIK LLC
Obstetrics & Gynecology
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 243-5930
DR. ELI G GOODMAN MD
Internal Medicine (Geriatric Medicine)
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 479-5890
CENTER FOR PSYCHIATRIC HEALTH
Psychiatry & Neurology (Psychiatry)
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-9541
MICHELLE LEE GEISS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-7275
MATTHEW J BEDNARCHIK CRNA
Nurse Anesthetist, Certified Registered
1600 W WALNUT ST
JACKSONVILLE, IL 62650
Morgan County (217) 245-9541

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 Michael Fenner's NPI number?

The NPI number for Michael Fenner is 1578660445. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Michael Fenner located?

Michael Fenner practices at 1600 W Walnut St, Jacksonville, IL 62650. The listed phone number is (217) 528-7541.

What is Michael Fenner's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Michael Fenner was last updated on February 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.