Jennifer Susan Hulsen, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036110140 Issued in IL

Practice address

2160 So Ill RT 157
Suite B
Glen Carbon, IL 62034

Phone

(618) 692-1212

Fax

(618) 692-4875

NPI assigned

Oct 2, 2006

Last updated

Apr 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jennifer Susan Sander Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jenniferhulsen@mhccaremail.com
• Direct secure messaging: jhulsen11940@direct-ehr-ssmhc.com

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.

• SSM Depaul Medical Group, Inc.

  dba SSM Health Medical Group

  • Internal Medicine Physician
  • Maryland Heights, MO
  • NPI 1760456743

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1083707756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 SO ILL RT 157",
            "address_2": "SUITE B",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "62034",
            "telephone_number": "618-692-1212",
            "fax_number": "618-692-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 SO ILL RT 157",
            "address_2": "SUITE B",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "62034",
            "telephone_number": "618-692-1212",
            "fax_number": "618-692-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSEN",
        "first_name": "JENNIFER",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036110140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenniferhulsen@mhccaremail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 SO ILL RT 157",
            "address_2": "SUITE B",
            "city": "GLEN CARBON",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SANDER",
            "middle_name": "SUSAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bethany Lynn Horstmann, LCPC
• Joshua Hottes, DC
• Kelly Houston, RDN, LD
• Heather Marie Hudzik, L.AC
• Lyndsey Rae Huff, M.S. CF-SLP
• Briana Denise Hunter
• Nikole Lee Hunter, D.C.
• Dennis M Hurford, MD
• Jessica G Hyatt, OTR/L CHT
• Illinois Associates in Psychiatry PC

• Pediatrics Physician in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.