Individual provider Active NPI

Jennifer Monk- Beckley, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Belleville, IL
National Provider Identifier
1215715636
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209016096 Issued in IL
Practice address
1149 Hampshire LN
Belleville, IL 62221-7838
Phone
(618) 623-3309
NPI assigned
Sep 18, 2023
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612000401 IL Practitioner - Nurse Practitioner 3678816204 Reassigns benefits to 5 organizations

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
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians
Yusuf Salah LLCGroup PAC ID 3577895176, 45 clinicians

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

LicenseStateTypeSpecialty
209016096ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Illinois PLLC CurrentSince Apr 30, 2024 Accepting new patients
Post Acute Medical PLLC CurrentSince Apr 1, 2024 Accepting new patients
Yusuf Salah LLC Family CurrentSince Apr 4, 2025 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.

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

Verify at the official NPI Registry.