JENNA ELIZABETH ISHMAEL FNP-C
NPI 1942928866
Nurse Practitioner - Family in Havana, IL

Active since August 16, 2022PECOS EnrolledAccepts Medicare Assignment
615 N PROMENADE ST, HAVANA, IL 62644(309) 543-6600 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2023, Aug 16, 2022 (2 updates tracked since 2022).

About Jenna Elizabeth Ishmael Fnp-c NPPES

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

JENNA ELIZABETH ISHMAEL FNP-C (NPI 1942928866) is an individual family provider in Havana, Illinois, licensed in Illinois (209025689) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mason City, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1942928866
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNA ELIZABETH ISHMAELCredential: FNP-C
Location Address615 N PROMENADE STHavana, IL 62644-1243
Mailing Address615 N Promenade StHavana, IL 62644-1243 · (309) 543-6600
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 16, 2022
Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
NPI 1942928866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209025689
615 N PROMENADE ST, Havana, IL 62644

Secondary Practice Location 1

Location 1122 E Elm StMason City, IL 62664-1410 · Phone (217) 482-3400

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jenna Elizabeth Ishmael Fnp-c 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 ID2466837638
PECOS Enrollment IDI20220923002975
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 62644 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.

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.

Internal Medicine
615 N PROMENADE ST
HAVANA, IL 62644
Internal Medicine
615 N PROMENADE ST
HAVANA, IL 62644
Clinic/Center (Rural Health)
615 N PROMENADE ST
HAVANA, IL 62644
General Acute Care Hospital (Critical Access)
615 N PROMENADE ST
HAVANA, IL 62644
Counselor (Professional)
615 N PROMENADE ST
HAVANA, IL 62644
Durable Medical Equipment & Medical Supplies
615 N PROMENADE ST
HAVANA, IL 62644
Occupational Therapist
615 N PROMENADE ST
HAVANA, IL 62644
Registered Nurse (Diabetes Educator)
615 N PROMENADE ST
HAVANA, IL 62644

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 Ishmael's NPI number?

The NPI number for Jenna Ishmael is 1942928866. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Jenna Ishmael located?

Jenna Ishmael practices at 615 N Promenade St, Havana, IL 62644. The listed phone number is (309) 543-6600.

What is Jenna Ishmael's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jenna Ishmael enrolled in Medicare?

Yes. Jenna Ishmael 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.

When was this NPI record last updated?

The NPPES record for Jenna Ishmael was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.