Individual provider Active NPI

Jennifer L Jones, MD

  • Family Medicine Physician
  • Morris, IL
National Provider Identifier
1477510717
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036104180 Issued in IL
Practice address
1499 Lakewood Dr Ste C
Morris, IL 60450-1740
Phone
(815) 416-1300
Fax
(815) 705-1741
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036104180 IL Primary

Addresses

Primary practice location

1499 Lakewood Dr Ste C
Morris, IL 60450-1740

Mailing address

725 School St Ste a
Morris, IL 60450-1207
Phone (815) 941-9124

Other identifiers 1

IdentifierTypeStateIssuer
036104180MedicaidIL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060802000254 IL Practitioner - Family Practice 1355354747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Washington University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris HospitalGroup PAC ID 1850372459, 115 clinicians

Practice addresses (Care Compare)

101 S Prairie Ave
Dwight, IL 60420-1350
Phone (815) 584-3291

1300 Dresden Dr
Morris, IL 60450-2476
Phone (815) 942-5200

1499 Lakewood Dr
Unit 1
Morris, IL 60450-1709
Phone (815) 941-7533

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036104180ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital CurrentSince Dec 2, 2019 Accepting new patients
Morris Hospital CurrentSince Dec 2, 2019 Accepting new patients
Morris Hospital Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

725 School St
Ste A
Morris, IL 60450

150 W High St
Morris, IL 60450
Phone (815) 942-2129

1499 Lakewood Dr
Ste C
Morris, IL 60450
Phone (815) 416-1300

Interoperability endpoints

  • Direct secure messaging: jennifer.jones@direct-address.org
  • Direct secure messaging: jennifer.jones.1@14307.direct.athenahealth.com

Organizations & group practices 4

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 3

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1477510717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SCHOOL ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501207",
            "telephone_number": "815-941-9124",
            "fax_number": "815-941-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 LAKEWOOD DR STE C",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501740",
            "telephone_number": "815-416-1300",
            "fax_number": "815-705-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036104180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104180",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.