Jeanne E. Holdren, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209011258 Issued in IL

Practice address

929 Stacey Burk Dr
Flora, IL 62839-3241

Phone

(618) 662-2191

Fax

(618) 662-2292

NPI assigned

Aug 19, 2006

Last updated

Jun 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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 JasperGroup PAC ID 6901904796, 6 clinicians

Franklin Hospital DistrictGroup PAC ID 4082516042, shared by 5 NPIs, 32 clinicians

County of Lawrence Health DepartmentGroup PAC ID 9830093723, 3 clinicians

Pinckneyville Community HospitalGroup PAC ID 8123921632, 26 clinicians

County of ClayGroup PAC ID 0042101982, shared by 6 NPIs, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clay County Hospital Hospital, Flora, IL, CCN 141351
• Osf Sacred Heart Medical Center Hospital, Danville, IL, CCN 140093
• Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189
• Crawford Memorial Hospital Hospital, Robinson, IL, CCN 141343

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.yourcareuniverse.net/tenant/c680de42-53d4-410c-a755-e5a226565d34
• Direct secure messaging: jeanneholdren@franklinhhc.allscriptsdirect.net
• Direct secure messaging: jholdren@yourcarecommunity.org

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.

• County of Jasper

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newton, IL
  • NPI 1073782579
  Medicare reassignment Care Compare group NPD
• County of Lawrence Health Department

  dba Lawrence County Health Department Rural Health Clinic

  • Rural Health Clinic/Center
  • Lawrenceville, IL
  • NPI 1629132410
  Medicare reassignment Care Compare group NPD
• Pinckneyville Community Hospital

  • Critical Access Hospital
  • Pinckneyville, IL
  • NPI 1689646523
  Medicare reassignment Care Compare group NPD
• County of Clay

  dba Clay County Hospital

  • Critical Access Hospital
  • Flora, IL
  • NPI 1184655136
  Medicare reassignment NPD
• County of Clay

  dba CCH Medical Clinic

  • Rural Health Clinic/Center
  • Flora, IL
  • NPI 1811946411
  Medicare reassignment NPD
• Franklin Hospital District

  • Internal Medicine Physician
  • Benton, IL
  • NPI 1255369427
  Medicare reassignment NPD
• Franklin Hospital District

  • Critical Access Hospital
  • Benton, IL
  • NPI 1699778951
  Medicare reassignment NPD
• County of Clay

  dba CCH Pharmacy

  • Community/Retail Pharmacy
  • Flora, IL
  • NPI 1235990276
  NPD
• County of Lawrence Health Department

  dba Lawrence County Health Department Palliative Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Lawrenceville, IL
  • NPI 1073334835
  NPD
• Franklin Hospital District

  dba Christopher Family Healthcare Clinic

  • Rural Health Clinic/Center
  • Christopher, IL
  • NPI 1134991292
  NPD
• Jasper County Health Department

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Newton, IL
  • NPI 1306594411
  NPD
• Pinckneyville Community Hospital

  dba Family Medical Center

  • Rural Health Clinic/Center
  • Pinckneyville, IL
  • NPI 1306818844
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of Clay

  dba Clay County Hospital

  • Critical Access Hospital
  • Flora, IL
  • NPI 1184655136
  Care Compare affiliation
• Crawford Hospital District

  dba CMH Specialty Clinic-Newton

  • Urology Physician
  • Newton, IL
  • NPI 1265309405

  Hospital

  Care Compare affiliation
• Crawford Hospital District

  dba Crawford Memorial Hospital and Health Services

  • Critical Access Hospital
  • Robinson, IL
  • NPI 1265493720
  Care Compare affiliation
• Osf Healthcare System

  dba OSF Sacred Heart Medical Center

  • General Acute Care Hospital
  • Danville, IL
  • NPI 1699288449
  Care Compare affiliation
• Sarah Bush Lincoln Health Center

  • General Acute Care Hospital
  • Mattoon, IL
  • NPI 1669564662
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1497860811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 STACEY BURK DR",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628393241",
            "telephone_number": "618-662-2191",
            "fax_number": "618-662-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 STACEY BURK DR",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628393241",
            "telephone_number": "618-662-2191",
            "fax_number": "618-662-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDREN",
        "first_name": "JEANNE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209011258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Flora, IL
• Providers in Flora, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.