Jennifer Kruse Allen, M.D.
Individual provider Active NPI Family Medicine Physician · Carthage, IL
NPI 1285685388 · NPPES record last updated May 28, 2022
Key facts
- NPI
- 1285685388
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036097277 (IL)
- Practice address
- 704 Questover Dr
Carthage, IL 62321-1101 - Phone
- (217) 357-0791
- NPI assigned
- May 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036097277 | IL | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036097277 | IL | Yes |
| Family Medicine Physician | 207Q00000X | 111348 | MO |
Addresses
Primary practice location
704 Questover Dr
Carthage, IL 62321-1101
Mailing address
704 Questover Dr
Carthage, IL 62321-1101
Phone (217) 357-0791
Other names
- Jennifer Kruse Offner
Other providers in Carthage, IL
- Advance Physical Therapy of Hancock County LLC
- Susana Alferez
- Krista Artman
- Sara Barker
- Kolina Arlene Baucom
- Tracey Lynn-Severt Behymer
- Stephen K Bergman
All providers in Carthage, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2022. 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).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.