Jessica Giddens, PMHNP-BC

Key facts

NPI

1033544747

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

277000634 (IL)

Practice address

600 W Lincoln Ave
Caseyville, IL 62232-1329

Phone

(618) 310-0724

NPI assigned

Sep 12, 2013

Sex

Female

Sole proprietor

Yes

Organizations & group practices 3

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

• Holon Inclusive Behavioral Health Psychiatry Physician · Dupo, IL · NPI 1528681764
  NPD BRAIN INJURY MEDICINE
• Jessica Whelan LLC Compounding Pharmacy · Dupo, IL · NPI 1417570920
  NPD
• Ozarks Medical Center General Acute Care Hospital · West Plains, MO · NPI 1831115641
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21369/brand/2/csg/1/fhir/r4
• Direct secure messaging: jessica.whelan@hihealthsystem.officeally.direct

Specialties & licenses

Addresses

Other identifiers

Other names

• Dr. Jessica Whelan Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 16, 2024.

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1033544747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ATTN: 614835 PO BOX 1409",
            "address_2": "131 W HIGH ST. #1409",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651021720",
            "telephone_number": "314-413-6243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W LINCOLN AVE",
            "city": "CASEYVILLE",
            "state": "IL",
            "postal_code": "622321329",
            "telephone_number": "618-310-0724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Bronze Pointe N",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622261007",
            "country_code": "US",
            "telephone_number": "844-493-1690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIDDENS",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277000634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURESCRIPTS",
            "identifier": "6555912834012",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL PRESCRIBING LICENSE",
            "identifier": "377000614",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE IL",
            "identifier": "277000634",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WHELAN",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Caseyville, IL

• Janine Dawn Felchlin
• Gateway Foundation Inc.
• Gateway Foundation, Inc.
• Gateway Foundation, Inc.
• Gateway Professional Services, PC
• Melissa Hardy, M.S. CCC-SLP
• Shawna Renae Galonda Herndon, LMT
• Melissa Hill, CPNP-PC
• Hollywood Heights Fire Department
• B Jo R Hughes

All providers in Caseyville, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois