Individual provider Active NPI

Jillian Marie Scherer, M.D.

  • Family Medicine Physician
  • Olney, IL
National Provider Identifier
1154563716
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036131780 Issued in IL
Practice address
104 N Grant St
Olney, IL 62450-2612
Phone
(618) 746-2676
Fax
(938) 238-4770
NPI assigned
Mar 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55057 WI
Family Medicine Physician 207Q00000X 036131780 IL Primary

Addresses

Primary practice location

104 N Grant St
Olney, IL 62450-2612

Mailing address

6240 N Saint Marie Rd
Olney, IL 62450-4113
Phone (618) 746-2676

Other practice location 1

131 S Boone St
Olney, IL 62450-2221
Phone (618) 746-2676

Other names 1

  • Jillian Marie Schefke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Feb 20, 2018 through Feb 20, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036131780ILMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1238198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1154563716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 N SAINT MARIE RD",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624504113",
            "telephone_number": "618-746-2676",
            "fax_number": "938-238-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N GRANT ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502612",
            "telephone_number": "618-746-2676",
            "fax_number": "938-238-4770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 S Boone St",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "IL",
            "postal_code": "624502221",
            "country_code": "US",
            "telephone_number": "618-746-2676",
            "fax_number": "938-238-4770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHERER",
        "first_name": "JILLIAN",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-28",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "55057",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036131780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "SCHEFKE",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olney, IL

Sources for this page

Verify at the official NPI Registry.