JENNA FORD APN, PCNS
NPI 1790139384
Clinical Nurse Specialist - Pediatrics in Peoria, IL
About Jenna Ford Apn, Pcns NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA FORD APN, PCNS (NPI 1790139384) is an individual pediatrics provider in Peoria, Illinois, licensed in Illinois (209.011547) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
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
Jenna Ford Apn, Pcns 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.
Medicare Billing Reassignment
Medicare enrollment records show Jenna Ford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Francis Medical Center
Acute Care Hospitals · Peoria, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PEORIA, IL 61603
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 Jenna Ford's NPI number?
The NPI number for Jenna Ford is 1790139384. It was assigned to this individual provider in the NPPES registry on April 20, 2016.
Where is Jenna Ford located?
Jenna Ford practices at 200 E Pennsylvania Ave, Peoria, IL 61603. The listed phone number is (309) 624-4000.
What is Jenna Ford's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Pediatrics, with taxonomy code 364SP0200X.
Is Jenna Ford enrolled in Medicare?
Yes. Jenna Ford 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 organization bills Medicare for Jenna Ford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Ford reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). The 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 Jenna Ford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jenna Ford affiliated with any hospitals?
According to CMS data, Jenna Ford is affiliated with Saint Francis Medical Center.
When was this NPI record last updated?
The NPPES record for Jenna Ford was last updated on June 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jenna Ford, APN, PCNS · NPI 1790139384
Pediatrics physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since April 20, 2016.
## Identity
- **NPI:** 1790139384 (Entity type: Individual)
- **Enumerated:** April 20, 2016
- **Primary specialty:** Clinical Nurse Specialist - Pediatrics · taxonomy 364SP0200X
- **State license:** 209.011547 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 E PENNSYLVANIA AVE, Peoria, IL 61603-3089
- **Phone:** (309) 624-4000 · **Fax:** (309) 624-4010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** June 9, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1790139384) · Data from the CMS NPPES public registry.