Active NPI
Jennifer Diann Pieper, CRNA, DNP
- Certified Registered Nurse Anesthetist
- Decatur, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209018851
- Practice address
- 1800 E Lake Shore Dr
Decatur, IL 62521-3810 - Phone
- (217) 464-2966
- NPI assigned
- Feb 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28285733A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 209018851 | IL | Primary |
Addresses
Primary practice location
1800 E Lake Shore Dr
Decatur, IL 62521-3810
Mailing address
1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-2966
Other practice location 1
4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 450-2240
Other practice location 2
600 Mary Street
Evansville, IN 47747-3810
Phone (812) 450-2240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 N 1St St
Springfield, IL 62781-0001
Phone (217) 788-3755
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209018851 | IL | MD | Certified Registered Nurse Anesthetist |
| 28285733A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anthonys Memorial Hospital of the Hospital Sisters of the Third | Current | Accepting new patients | |
| Taylorville Memorial Hospital | Current | Accepting new patients | |
| Taylorville Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Deaconess Hospital, Inc | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Memorial Medical Center | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| St Marys Hospital Decatur of the Hospital Sisters of the Third Order | Current | Accepting new patients | |
| Memorial Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Taylorville Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Memorial Medical Center | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
3333 N Seminary St
Galesburg, IL 61401
Phone (309) 344-3161
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- jpiepermd405250@carlehiedirect.net
- https://fhir-usa.unify.chbase.com/org/stvince-659560ec
Organizations & group practices 22
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.
-
- Certified Registered Nurse Anesthetist
- Springfield, IL
- NPI 1255393112
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
-
- Critical Access Hospital
- Taylorville, IL
- NPI 1144292020
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1477010874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 E LAKE SHORE DR",
"city": "DECATUR",
"state": "IL",
"postal_code": "625213810",
"telephone_number": "217-464-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E LAKE SHORE DR",
"city": "DECATUR",
"state": "IL",
"postal_code": "625213810",
"telephone_number": "217-464-2966"
}
],
"practiceLocations": [
{
"address_1": "4011 Gateway Blvd",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476308947",
"country_code": "US",
"telephone_number": "812-450-2240",
"fax_number": "812-450-2710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Mary Street",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477473810",
"country_code": "US",
"telephone_number": "812-450-2240",
"fax_number": "812-450-2710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIEPER",
"first_name": "JENNIFER",
"middle_name": "DIANN",
"name_prefix": "Dr.",
"credential": "CRNA, DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2023-11-27",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28285733A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209018851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.