Individual provider Active NPI

Jennifer Michelle Schenck, PMHNP, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • O Fallon, IL
National Provider Identifier
1184605834
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
377-001592 Issued in IL
Practice address
791 Wall St Ste 100
O Fallon, IL 62269-2087
Phone
(283) 212-2790
Fax
(618) 206-6451
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 377-001592 IL Primary

Addresses

Primary practice location

791 Wall St Ste 100
O Fallon, IL 62269-2087

Mailing address

791 Wall St Ste 100
O Fallon, IL 62269-2087
Phone (283) 223-7997

Other identifiers 1

IdentifierTypeStateIssuer
87-2530297OtherILINDIVIDUAL

Other names 1

  • Jennifer Michelle Cyr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
377-001592ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morgan & Schenck Mental Health and Wellness Associates Psychiatric/Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1184605834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 WALL ST STE 100",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692087",
            "telephone_number": "283-223-7997",
            "fax_number": "618-206-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 WALL ST STE 100",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692087",
            "telephone_number": "283-212-2790",
            "fax_number": "618-206-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENCK",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "PMHNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "377-001592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "87-2530297",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CYR",
            "middle_name": "MICHELLE",
            "credential": "RN, NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in O Fallon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.