NPIMap

Individual provider Active NPI

Jennifer S Schroeder, MD

  • Family Medicine Physician
  • Mt Sterling, IL
National Provider Identifier
1003889957
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036108903 Issued in IL
Practice address
216 Pittsfield Rd
Mount Sterling, IL 62353
Phone
(217) 773-3963
Fax
(217) 773-3426
NPI assigned
Feb 10, 2006
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036108903 IL Primary

Addresses

Primary practice location

216 Pittsfield Rd
Mount Sterling, IL 62353

Mailing address

521 E Main St
Mt Sterling, IL 62353-1378
Phone (217) 773-3963

Other practice location 1

109 Buckhorn Rd
MT Sterling, IL 62353-1403
Phone (217) 773-3963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060203000556 IL Practitioner - Family Practice 0345151551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550

1025 Maine St
Quincy, IL 62301-4096

216 Pittsfield Rd
Mt Sterling, IL 62353-1626
Phone (217) 773-3963

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Mar 1, 2006 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Mar 1, 2006 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC Past Accepting new patients
Cass County Public Health Dept PastSince Feb 1, 2015 Accepting new patients

Locations

109 Buckhorn Rd
Mt Sterling, IL 62353
Phone (217) 773-3963

521 E Main St
Mt Sterling, IL 62353
Phone (217) 773-3963

1025 Maine St
Quincy, IL 62301
Phone 21722265503163

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/
  • Direct secure messaging: jschroeder198178@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
WLC Management FirmVirginia, IL, CCN 146100 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2025
Mar 1, 2025
Cass County Public Health DeptVirginia, IL, CCN 141571 Hospice Contracted Managing Employee (100%) Feb 1, 2015

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1003889957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E MAIN ST",
            "city": "MT STERLING",
            "state": "IL",
            "postal_code": "623531378",
            "telephone_number": "217-773-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 PITTSFIELD RD",
            "city": "MOUNT STERLING",
            "state": "IL",
            "postal_code": "62353",
            "telephone_number": "217-773-3963",
            "fax_number": "217-773-3426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Buckhorn Rd",
            "address_purpose": "LOCATION",
            "city": "MT Sterling",
            "state": "IL",
            "postal_code": "623531403",
            "country_code": "US",
            "telephone_number": "217-773-3963",
            "fax_number": "217-773-3426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036108903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, IL

Sources for this page

Verify at the official NPI Registry.