Active NPI
Jennifer Monk- Beckley, FAMILY NURSE PRACTIT
- Family Nurse Practitioner
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209016096
- Practice address
- 1149 Hampshire LN
Belleville, IL 62221-7838 - Phone
- (618) 623-3309
- NPI assigned
- Sep 18, 2023
- Last updated
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209016096 | IL | Primary |
Addresses
Primary practice location
1149 Hampshire LN
Belleville, IL 62221-7838
Mailing address
1149 Hampshire LN
Belleville, IL 62221-7838
Phone (618) 623-3309
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3354 Jerome LN
Cahokia, IL 62206-2604
Phone (877) 883-9430
614 N Summit Ave
Collinsville, IL 62234-3728
Phone (888) 705-8722
7300 W College Dr
Suite 101
Palos Heights, IL 60463-1181
Phone (708) 448-8470
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209016096 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altea Medical Illinois PLLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Yusuf Salah LLC | Family | Current | Accepting new patients |
| Chestnut Health of Illinois LLC | Past | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
3523 Wickenhauser Ave
Alton, IL 62002
Phone (618) 465-8887
490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444
253 Bradington Dr
Columbia, IL 62236
Phone (618) 218-6800
3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400
19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400
1101 E State St
Geneva, IL 60134
Phone (630) 232-7544
1623 W Delmar Ave
Godfrey, IL 62035
Phone (618) 466-0443
901 N 10th St
Mascoutah, IL 62258
Phone (618) 556-2183
6321 Dempster St
Morton Grove, IL 60053
7300 W College Dr
Ste 101
Palos Heights, IL 60463
Phone (708) 448-8470
555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880
150 N 27th St
Swansea, IL 62226
Phone (618) 235-6600
727 N 17th St
Swansea, IL 62226
Phone (618) 234-3323
Organizations & group practices 6
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.
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IL
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- NPI 1083012074
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- NPI 1447039227
-
- Nurse Practitioner
- Chicago, IL
- NPI 1457926537
-
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- NPI 1588043939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1215715636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1149 HAMPSHIRE LN",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622217838",
"telephone_number": "618-623-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1149 HAMPSHIRE LN",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622217838",
"telephone_number": "618-623-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONK- BECKLEY",
"first_name": "JENNIFER",
"credential": "FAMILY NURSE PRACTIT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209016096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.