Individual provider Active NPI

Jennifer Ann Likens, NP-C

  • Nurse Practitioner
  • Paris, IL
National Provider Identifier
1336708270
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F06191139 Issued in IN
Practice address
721 E Court St
Paris, IL 61944-2460
Phone
(217) 465-4141
Fax
(217) 465-1412
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F06191139 IN Primary
Family Nurse Practitioner 363LF0000X F06191139 IN

Addresses

Primary practice location

721 E Court St
Paris, IL 61944-2460

Mailing address

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191014001292 IL Practitioner - Nurse Practitioner 5193056711 Reassigns benefits to 1 organization
I20191016003095 IN Practitioner - Nurse Practitioner 5193056711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F06191139INMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Aug 7, 2019 Accepting new patients
Galen Inpatient Physicians, PC CurrentSince Aug 1, 2021 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Aug 1, 2021 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Aug 7, 2019 Accepting new patients
Union Hospital Inc. Current Accepting new patients

Locations

1000 N 2nd St
Marshall, IL 62441
Phone (217) 826-3299

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

1 Phipps Ln
Paris, IL 61944
Phone (217) 463-4340

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: jlikens@unionhealth.cernerdirect.com
  • Direct secure messaging: jennifer.likens.1@11356.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1336708270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 E COURT ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442460",
            "telephone_number": "217-465-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 E COURT ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442460",
            "telephone_number": "217-465-4141",
            "fax_number": "217-465-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKENS",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "F06191139",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F06191139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, IL

Sources for this page

Verify at the official NPI Registry.