Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER SEDLACEK FNP-C, PMHNP-BC
NPI 1689100083
Nurse Practitioner in Alton, IL

Active since May 04, 2017PECOS EnrolledAccepts Medicare Assignment
1 PROFESSIONAL DR, ALTON, IL 62002(314) 996-4545(314) 273-0140 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 15, 2026, Dec 30, 2024, Jun 12, 2024 and 2 more (5 updates tracked since 2017).

About Jennifer Sedlacek Fnp-c, Pmhnp-bc NPPES

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

JENNIFER SEDLACEK FNP-C, PMHNP-BC (NPI 1689100083) is an individual nurse practitioner in Alton, Illinois, licensed in Illinois (209016337) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Richmond Heights, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689100083
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER SEDLACEKCredential: FNP-C, PMHNP-BC
Location Address1 PROFESSIONAL DRAlton, IL 62002-5068
Mailing AddressPo Box 959203Saint Louis, MO 63195-9203 · (314) 996-4545 · Fax (314) 273-0140
Fax(314) 273-0140
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 4, 2017
Last NPPES UpdateSeptember 15, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1689100083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209016337
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.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 209016337 (IL), 2017027608 (MO)
1 PROFESSIONAL DR, Alton, IL 62002

Secondary Practice Location 1

Location 11034 S Brentwood Blvd Ste 1250Richmond Heights, MO 63117-1263 · Phone (636) 939-2550

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 Sedlacek Fnp-c, Pmhnp-bc 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 ID8729352315
PECOS Enrollment IDI20170920002458, I20231002002673
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

6

Medicare enrollment records show Jennifer Sedlacek reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
815 E 5TH ST
Alton, IL 62002
  • Reassigned Medicare billing, Illinois enrollment
  • 164 clinicians in this Medicare group
Hospice Care, Community Based
1604 EASTPORT PLAZA DR, SUITE 102
Collinsville, IL 62234
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
Hospice Care, Community Based
6406 WISE AVE
Saint Louis, MO 63139
  • Reassigned Medicare billing, Missouri enrollment
  • 11 clinicians in this Medicare group
231 mi
Family Medicine
1000 BURR RIDGE PKWY STE 201
Burr Ridge, IL 60527
  • Reassigned Medicare billing, Illinois enrollment
  • 189 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Missouri enrollment
  • 412 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group

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 62002 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 20

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

Surgery
1 PROFESSIONAL DR, STE 150
ALTON, IL 62002
Internal Medicine
1 PROFESSIONAL DR, SUITE 220
ALTON, IL 62002
Obstetrics & Gynecology
1 PROFESSIONAL DR
ALTON, IL 62002
Clinic/Center (Radiology, Mammography)
1 PROFESSIONAL DR
ALTON, IL 62002
Physical Therapist
1 PROFESSIONAL DR
ALTON, IL 62002
Nurse Practitioner (Family)
1 PROFESSIONAL DR
ALTON, IL 62002
Pediatrics
1 PROFESSIONAL DR, SUITE 250
ALTON, IL 62002
Physical Therapist
1 PROFESSIONAL DR, SUITE 10
ALTON, IL 62002

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 Sedlacek's NPI number?

The NPI number for Jennifer Sedlacek is 1689100083. It was assigned to this individual provider in the NPPES registry on May 4, 2017.

Where is Jennifer Sedlacek located?

Jennifer Sedlacek practices at 1 Professional Dr, Alton, IL 62002. The listed phone number is (314) 996-4545.

What is Jennifer Sedlacek's specialty?

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

Is Jennifer Sedlacek enrolled in Medicare?

Yes. Jennifer Sedlacek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Sedlacek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Sedlacek reassigns Medicare benefits to 6 organizations: Southern Illinois Healthcare Foundation, Inc. (Alton, IL), Unity Hospice Of Greater St Louis LLC (Collinsville, IL), Unity Hospice Gsl, LLC (Saint Louis, MO), Vpa PC (Burr Ridge, IL), Signify Health, LLC (Dallas, TX) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Sedlacek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Sedlacek was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.