Jeanne E. Holdren, APN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Flora, IL
NPI 1497860811 · NPPES record last updated Jun 21, 2016
Key facts
- NPI
- 1497860811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209011258 (IL)
- Practice address
- 929 Stacey Burk Dr
Flora, IL 62839-3241 - Phone
- (618) 662-2191
- Fax
- (618) 662-2292
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 21
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Southern Illinois University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Jasper
Franklin Hospital District
County of Lawrence Health Department
Pinckneyville Community Hospital
County of Clay
Practice addresses (Care Compare)
106 Edwards St
Newton, IL 62448-1736
Phone (618) 783-4154
1310 Mark Franklin Dr
Benton, IL 62812-2049
Phone (618) 439-3500
1409 N Main St
Benton, IL 62812-1918
Phone (618) 435-2712
201 Bailey LN
Benton, IL 62812-1969
Phone 6184393161332
201 Bailey LN
Benton, IL 62812-1999
2101 James St
Lawrenceville, IL 62439-2027
Phone (618) 943-3302
5383 State Route 154
Pinckneyville, IL 62274-3342
Phone 61835721875902
902 S McLeansboro St
Benton, IL 62812-3413
Phone (618) 439-4501
939 Sunset Rd SW
Clay City, IL 62824-1113
Phone (618) 662-2191
Hospital & facility affiliations
- Clay County Hospital
- Osf Sacred Heart Medical Center
- Sarah Bush Lincoln Health Center
- Crawford Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140609001296 | IL | Practitioner - Nurse Practitioner | 7315161593 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Specialist, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209011258 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Hospital District | Current |
Accepting new patients | |
| County of Lawrence Health Department | Current |
Accepting new patients | |
| Franklin Hospital District | Current | Accepting new patients | |
| County of Clay | Current |
Accepting new patients | |
| County of Clay | Current |
Accepting new patients | |
| County of Clay | Current |
Accepting new patients | |
| Jasper County Health Department | Current |
Accepting new patients | |
| County of Lawrence Health Department | Current |
Accepting new patients | |
| Franklin Hospital District | Current |
Accepting new patients | |
| County of Jasper | Current |
Accepting new patients | |
| Pinckneyville Community Hospital | Current |
Accepting new patients | |
| Pinckneyville Community Hospital | Current |
Accepting new patients | |
| Franklin Hospital District | Past | Accepting new patients | |
| County of Clay | Past | Accepting new patients |
Locations
201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113
201 Bailey Ln
Fl 3
Benton, IL 62812
Phone (618) 435-9760
939 Sunset Rd SW
Clay City, IL 62824
Phone (686) 662-2131
911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161
929 Stacey Burk Dr
Flora, IL 62839
2101 James St
Lawrenceville, IL 62439
Phone (618) 943-3302
106 Edwards St
Newton, IL 62448
Phone (618) 783-4154
5383 State Route 154
Pinckneyville, IL 62274
Phone (618) 357-2131
Interoperability endpoints
- jholdren@yourcarecommunity.org
- jeanneholdren@franklinhhc.allscriptsdirect.net
- https://fhir.yourcareuniverse.net/tenant/c680de42-53d4-410c-a755-e5a226565d34
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209011258 | IL | Yes |
Addresses
Primary practice location
929 Stacey Burk Dr
Flora, IL 62839-3241
Mailing address
929 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2191
Other providers in Flora, IL
- Jennifer Henson
- Heritage Woods LLC
- Leo Frank Hettiger
- Stacy Lynn Hilderbrand
- Roberta Hinman
- Cole Honeyman
- Amanda Lyann Horvet
- Susan Renae Ingram
- Heather Leigh Irvin
- J. Calvin Wilson, DDS, PC
All providers in Flora, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.