Individual provider Active NPI

Jennifer Diann Pieper, CRNA, DNP

  • Certified Registered Nurse Anesthetist
  • Decatur, IL
National Provider Identifier
1477010874
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209018851 Issued in IL
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190409000094 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294076873 Reassigns benefits to 9 organizations

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
Memorial Medical CenterGroup PAC ID 7315835949, 131 clinicians

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

LicenseStateTypeSpecialty
209018851ILMDCertified Registered Nurse Anesthetist
28285733AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthonys Memorial Hospital of the Hospital Sisters of the Third CurrentSince Aug 1, 2022 Accepting new patients
Taylorville Memorial Hospital CurrentSince Jan 13, 2026 Accepting new patients
Taylorville Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Apr 15, 2022 Accepting new patients
Memorial Medical Center CurrentSince Jun 1, 2024 Accepting new patients
Associated Anesthesiologists, SC CurrentSince Dec 27, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Oct 31, 2023 Accepting new patients
Deaconess Hospital Inc CurrentSince May 8, 2024 Accepting new patients
St Marys Hospital Decatur of the Hospital Sisters of the Third Order CurrentSince Feb 1, 2019 Accepting new patients
Memorial Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Taylorville Memorial Hospital CurrentSince May 1, 2024 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Feb 5, 2024 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Aug 9, 2022 Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince May 8, 2024 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Associated Anesthesiologists, S.C. CurrentSince Dec 27, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Carle Health Care Incorporated CurrentSince Feb 5, 2024 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

  • Direct secure messaging: jpiepermd405250@carlehiedirect.net
  • FHIR API: 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.

View all 22

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": "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.

Verify at the official NPI Registry.