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JENNIFER ELLISON FNP
NPI 1669927984
Nurse Practitioner in Springfield, IL

Active since August 16, 2016PECOS Enrolled
72.14/100
CMS Quality Rating
3132 OLD JACKSONVILLE RD, SPRINGFIELD, IL 62704(217) 862-0800 Get Directions Write a Review

NPPES record last updated: August 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Ellison Fnp NPPES

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

JENNIFER ELLISON FNP (NPI 1669927984) is an individual nurse practitioner in Springfield, Illinois, licensed in Illinois (209014641) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669927984
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER ELLISONCredential: FNP
Location Address3132 OLD JACKSONVILLE RDSpringfield, IL 62704-7400
Mailing Address3132 Old Jacksonville RdSpringfield, IL 62704-7400 · (217) 862-0800
Phone(217) 862-0800
Sole ProprietorNo
Enumeration DateAugust 16, 2016
✔ NPI 1669927984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209014641
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3132 OLD JACKSONVILLE RD, Springfield, IL 62704
Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer O'connell

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Ellison Fnp 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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
142 services117 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services21 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
16 services16 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

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.

ALISSA DANIELLE SMITH NP
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
MELANIE R REYNOLDS FNP
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD, SUITE 200
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0730
MRS. SHARON MARIE HOWARTH OTRLCHT
Occupational Therapist (Hand)
3132 OLD JACKSONVILLE RD, SUITE 140
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400
PEGGY JONES NP
Nurse Practitioner
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0871
LAVANYA KOLLURI M.D.
Internal Medicine
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0062
MS. MELISSA S LINDERMAN OTR
Occupational Therapist
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400
MEMORIAL PHYSICIAN SERVICES
Nurse Practitioner (Family)
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0800
DR. REBECCA D ANDERSON PHD
Psychologist (Clinical)
3132 OLD JACKSONVILLE RD, SUITE 140
SPRINGFIELD, IL 62704
Sangamon County (217) 862-0400

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 Ellison's NPI number?

The NPI number for Jennifer Ellison is 1669927984. It was assigned to this individual provider in the NPPES registry on August 16, 2016. The provider is also known as Jennifer O'connell.

Where is Jennifer Ellison located?

Jennifer Ellison practices at 3132 Old Jacksonville Rd, Springfield, IL 62704. The listed phone number is (217) 862-0800.

What is Jennifer Ellison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Ellison enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Ellison was last updated on August 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.