Jennifer Jeanne Jouett, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085003689 Issued in IL

Practice address

1191 Fortune Blvd
Shiloh, IL 62269-7473

Phone

(618) 622-7546

Fax

(618) 627-0098

NPI assigned

Feb 2, 2010

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro East Dermatology and Skin Cancer Center LLCGroup PAC ID 9739451956, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph'S Hospital Hospital, Highland, IL, CCN 141336
• HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187

Merit-based Incentive Payment System (MIPS)

Final score

90.8 of 100Reported as group

Quality

81.6

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jjouett@metro.emadirect.md

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.

• Metro East Dermatology & Skin Cancer Center LLC

  • Dermatology Physician
  • Shiloh, IL
  • NPI 1518494996
  Medicare reassignment Care Compare group
• Mitas LLC

  • Orthopaedic Surgery Physician
  • Shiloh, IL
  • NPI 1659967917
  NPD
• Skin Cancer Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • O Fallon, IL
  • NPI 1699407643
  NPD (past)

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

• St Elizabeths Hospital of the Hospital Sisters of the Third Order

  • General Acute Care Hospital
  • O Fallon, IL
  • NPI 1629057302
  Care Compare affiliation
• St Josephs Hospital of the Hospital Sisters of the Third Order of St F

  • Critical Access Hospital
  • Highland, IL
  • NPI 1447352323
  Care Compare affiliation

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1114259199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 FORTUNE BLVD STE 2",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697474",
            "telephone_number": "618-622-7456",
            "fax_number": "618-627-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 FORTUNE BLVD",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697473",
            "telephone_number": "618-622-7546",
            "fax_number": "618-627-0098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5023 N Illinois St",
            "address_purpose": "LOCATION",
            "city": "Fairview Heights",
            "state": "IL",
            "postal_code": "622083453",
            "country_code": "US",
            "telephone_number": "618-239-0678",
            "fax_number": "800-516-2392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOUETT",
        "first_name": "JENNIFER",
        "middle_name": "JEANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE NUMBER",
            "identifier": "085003689",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shiao-Yun Huang, DPT
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• James Leon Jablonski II, M.D.
• Elizabeth Jeremiah, MA, QMHP, LCPC, LPHA
• Brooke Juneau, DMD
• Tina Marie Kampwerth, LCPC
• Christopher John Keck
• Nicholas D Keim, D.C
• Sekou Khary Kelsey, MD

• Physician Assistant in Shiloh, IL
• Providers in Shiloh, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.