Individual provider Active NPI

Jacqueline Jones Toal

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1215488697
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209014994 Issued in IL
Practice address
228 NE Jefferson Ave
Peoria, IL 61603-3802
Phone
(309) 671-8000
NPI assigned
Oct 20, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 22

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mood Clinical, P. C. 107 clinicians
Sinnissippi Centers Inc 32 clinicians

Practice addresses (Care Compare)

18191 Von Karman Ave
Suite 100
Irvine, CA 92612-7103
Phone (619) 639-9730

325 Il Route 2
Dixon, IL 61021-9118
Phone (815) 284-6611

Hospital & facility affiliations

  • FHN Memorial Hospital Hospital, Freeport, IL, CCN 140160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, NC, KS, CO, AZ, VA, CA8 enrollments
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.

Medicare enrollment records 8

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20161206000365 IL Practitioner - Nurse Practitioner 8628358843 Reassigns benefits to 3 organizations
I20190405001521 IN Practitioner - Nurse Practitioner 8628358843 Reassigns benefits to 1 organization
I20190625003195 NC Practitioner - Nurse Practitioner 8628358843 Reassigns benefits to 1 organization
I20190725001176 KS Practitioner - Nurse Practitioner 8628358843 Reassigns benefits to 1 organization
I20190806003738 CO Practitioner - Nurse Practitioner 8628358843 Reassigns benefits to 1 organization
I20190816000700 AZ Practitioner - Nurse Practitioner 8628358843 Reassigns benefits to 1 organization
I20230530000152 VA Practitioner - Nurse Practitioner 8628358843 Reassigns benefits to 1 organization
I20230920002097 CA Practitioner - Nurse Practitioner 8628358843 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209014994ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Center CurrentSince Sep 13, 2023 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Jul 1, 2019 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Golden Valley Health Centers CurrentSince Sep 13, 2023 Accepting new patients
Sinnissippi Centers, Inc. CurrentSince Oct 21, 2019 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Current Accepting new patients
Triangle Springs Physician Group, LLC CurrentSince May 28, 2019 Accepting new patients
Denver Springs Physician Group LLC CurrentSince Jul 16, 2019 Accepting new patients
Forefront Telecare Medical Services PC CurrentSince Apr 18, 2023 Accepting new patients
Cottonwood Springs Physician Group LLC CurrentSince Jul 16, 2019 Accepting new patients
Sinnissippi Centers, Inc. Current Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Jul 1, 2019 Accepting new patients
Brentwood Meadows Physician Group LLC Psychiatric/Mental Health CurrentSince Mar 29, 2019 Accepting new patients
Mood Clinical, P. C. Psychiatric/Mental Health CurrentSince May 12, 2024 Accepting new patients
Sinnissippi Centers, Inc. CurrentSince Oct 21, 2019 Accepting new patients
Alpine Clinic, LLC CurrentSince Jul 22, 2019 Accepting new patients
Denver Springs Physician Group LLC CurrentSince Jul 16, 2019 Accepting new patients
Glenn Medical Center, LLC PastSince May 12, 2024 Accepting new patients
Beckett Springs, LLC Past Accepting new patients
Oakwood Springs, LLC PastSince Jul 22, 2019 Accepting new patients

Locations (25 of 32)

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

18191 Von Karman Ave
Ste 100
Irvine, CA 92612
Phone (530) 889-7293

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

8835 American Way
Englewood, CO 80112
Phone (720) 643-4300

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

325 Il Route 2
Dixon, IL 61021
Phone (815) 288-6611

Rte 2 325 Illinois
Dixon, IL 61021

1321 N 7th St
Rochelle, IL 61068
Phone (815) 562-3801

3660 Rome Dr
Lafayette, IN 47905
Phone (765) 446-9394

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209014994 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

228 NE Jefferson Ave
Peoria, IL 61603-3802

Mailing address

228 NE Jefferson Ave
Peoria, IL 61603-3802
Phone (309) 671-8000

Other names 1

NPPES NPI Registry
  • Jacqueline S Jones Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2016.

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1215488697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 NE JEFFERSON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033802",
            "telephone_number": "309-671-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 NE JEFFERSON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033802",
            "telephone_number": "309-671-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOAL",
        "first_name": "JACQUELINE",
        "middle_name": "JONES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209014994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "JONES",
            "middle_name": "S",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.