Jane Kalmes, P.A.
Individual provider Active NPI Medical Physician Assistant · Peoria, IL
NPI 1205876166 · NPPES record last updated Nov 7, 2011
Key facts
- NPI
- 1205876166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 085000399 (IL)
- Practice address
- 5114 N Glen Park Place Rd
Peoria, IL 61614-4686 - Phone
- (309) 683-6600
- Fax
- (309) 683-2412
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osf Multi-Specialty Group
Practice addresses (Care Compare)
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Saint Francis Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050830000072 | IL | Practitioner - Physician Assistant | 5991736944 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085000399 | IL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current |
Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
101 S Major St
Eureka, IL 61530
Phone (309) 268-2172
200 E Pennsylvania Ave
Ste 212
Peoria, IL 61603
Phone (309) 624-9259
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
5114 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 655-2431
420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 085000399 | IL | Yes |
Addresses
Primary practice location
5114 N Glen Park Place Rd
Peoria, IL 61614-4686
Mailing address
305 W Morningside Dr
Peoria, IL 61614-2138
Phone (309) 693-0894
Other providers in Peoria, IL
- Valerie T Kale
- Misbah Binte Kaleem
- Kaleidoscope Therapy Services, PLLC
- Kalman Health & Wellness Inc
- William Joseph Kalman
- Amanda Kaltwasser
- Nicole Elizabeth Kaltwasser
- Nikhil Reddy Kalva
- Kavitha Kalvakuri
- Sravani Kamatam
All providers in Peoria, IL · Medical Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.