Individual provider Active NPI

Jennifer Adele Demsar, APRN

  • Family Nurse Practitioner
  • Sparta, IL
National Provider Identifier
1396218202
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018216 Issued in IL
Practice address
215 S Burns Ave
Sparta, IL 62286-1894
Phone
(618) 443-4889
Fax
(618) 443-1344
NPI assigned
Jan 3, 2019
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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 209018216 IL Primary

Addresses

Primary practice location

215 S Burns Ave
Sparta, IL 62286-1894

Mailing address

215 S Burns Ave
Sparta, IL 62286-1894
Phone (618) 443-4889

Other practice location 1

1300 N Market St
Sparta, IL 62286-1048
Phone (618) 443-6228

Other practice location 2

521 N Borders Ave Ste C
Marissa, IL 62257-1195
Phone (618) 443-1337

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address smo@spartahospital.hin.us Direct
Direct Messaging Address mmc@spartahospital.hin.us

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
I20190211002390 IL Practitioner - Nurse Practitioner 8729326160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 N Market St
Sparta, IL 62286-1048
Phone (618) 443-4138

215 S Burns Ave
Sparta, IL 62286-1894
Phone (618) 443-4889

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209018216ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics CurrentSince Mar 1, 2019 Accepting new patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics Past Accepting new patients

Locations

521 N Borders Ave
Marissa, IL 62257
Phone (618) 295-1591

521 N Borders Ave
Ste C
Marissa, IL 62257
Phone (618) 295-1591

1300 N Market St
Sparta, IL 62286
Phone (618) 443-4138

207 S Burns Ave
Sparta, IL 62286
Phone (618) 443-3084

215 S Burns Ave
Sparta, IL 62286
Phone (618) 443-4889

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

Interoperability endpoints

  • Direct secure messaging: mmc@spartahospital.hin.us

Organizations & group practices 2

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.

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": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1396218202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S BURNS AVE",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861894",
            "telephone_number": "618-443-4889",
            "fax_number": "618-443-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S BURNS AVE",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861894",
            "telephone_number": "618-443-4889",
            "fax_number": "618-443-1344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N Market St",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "IL",
            "postal_code": "622861048",
            "country_code": "US",
            "telephone_number": "618-443-6228",
            "fax_number": "618-443-3685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 N Borders Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Marissa",
            "state": "IL",
            "postal_code": "622571195",
            "country_code": "US",
            "telephone_number": "618-443-1337",
            "fax_number": "618-443-1383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMSAR",
        "first_name": "JENNIFER",
        "middle_name": "ADELE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smo@spartahospital.hin.us",
            "affiliation": "N",
            "endpointDescription": "Sparta Medical Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "215 S Burns Ave",
            "city": "Sparta",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622861894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmc@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "521 N Borders Ave Ste C",
            "city": "Marissa",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622571195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sparta, IL

Sources for this page

Verify at the official NPI Registry.