JENIFER MARIE CHAMBLESS PA-C
NPI 1962549790
Physician Assistant in Carbondale, IL

Q: What is Jenifer Chambless's NPI number?

The NPI number for Jenifer Chambless is 1962549790. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Jenifer Chambless's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jenifer Chambless was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment

300 W OAK ST, CARBONDALE, IL 62901(618) 536-6621(618) 453-1102 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2024, Dec 28, 2020, Dec 23, 2020 and 1 more (4 updates tracked since 2020).

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About Jenifer Marie Chambless Pa-c NPPES

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

JENIFER MARIE CHAMBLESS PA-C (NPI 1962549790) is an individual physician assistant in Carbondale, Illinois, licensed in Illinois (085001864) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Carbondale, and is a graduate of University Of Nebraska College Of Medicine (2002).

NPPES Registry Identity

NPI1962549790

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENIFER MARIE CHAMBLESSCredential: PA-C

Location Address300 W OAK STCarbondale, IL 62901-1400

Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (844) 470-2486

Phone(618) 536-6621

Fax(618) 453-1102

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2002

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJuly 29, 20244 updates tracked since enumeration

NPPES CertifiedJuly 29, 2024

✔ NPI 1962549790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085001864

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085-001864 (IL)

300 W OAK ST, Carbondale, IL 62901

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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

Jenifer Marie Chambless Pa-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 ID5193858561

PECOS Enrollment IDI20100805000472

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141334

Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

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.

JOELI GEBHART PAC

Physician Assistant