Individual provider Active NPI

Jennifer L Felchlia, APRN

  • Nurse Practitioner
  • Carlyle, IL
National Provider Identifier
1114659703
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.025331 Issued in IL
Practice address
751 18TH St
Carlyle, IL 62231-1316
Phone
(618) 795-4849
NPI assigned
Jun 30, 2022
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209025331 IL
Nurse Practitioner 363L00000X 209.025331 IL Primary

Addresses

Primary practice location

751 18TH St
Carlyle, IL 62231-1316

Mailing address

751 18TH St
Carlyle, IL 62231-1316

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220909001166 IL Practitioner - Nurse Practitioner 1850776956 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yusuf Salah LLCGroup PAC ID 3577895176, 45 clinicians

Practice addresses (Care Compare)

7300 W College Dr
Suite 101
Palos Heights, IL 60463-1181
Phone (708) 448-8470

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.025331ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Specialty Clinic, Inc. Nurse Practitioner CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Crossroads Inc CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Crossroads Inc CurrentSince Dec 6, 2022 Accepting new patients
Renew Wound Care of Illinois PLLC CurrentSince Dec 1, 2025 Accepting new patients
Gerio Primary Care PC CurrentSince Nov 8, 2023 Accepting new patients
Senf NP Family Medicine PLLC CurrentSince Oct 1, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Nurse Practitioner CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Nurse Practitioner Current Accepting new patients
National Healthcare of Mt Vernon Inc Past Accepting new patients
Gerio Primary Care PastSince Feb 1, 2025 Accepting new patients

Locations

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

3111 Broadway St
Mount Vernon, IL 62864
Phone (618) 241-0300

4101 N Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 244-4313

1901 N Roselle Rd
Ste 800
Schaumburg, IL 60195
Phone (847) 220-7603

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEEBDD

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1114659703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 18TH ST",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622311316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 18TH ST",
            "city": "CARLYLE",
            "state": "IL",
            "postal_code": "622311316",
            "telephone_number": "618-795-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELCHLIA",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025331",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.025331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlyle, IL

Sources for this page

Verify at the official NPI Registry.