Individual provider Active NPI

Jennifer Elaine Price, PA-C

  • Physician Assistant
  • Carrier Mills, IL
National Provider Identifier
1538124284
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085002577 Issued in IL
Practice address
7211 US 45 S
Carrier Mills, IL 62917-1305
Phone
(618) 294-8246
Fax
(618) 294-8247
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085002577 IL Primary

Addresses

Primary practice location

7211 US 45 S
Carrier Mills, IL 62917-1305

Mailing address

PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2401

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000457 IL Practitioner - Physician Assistant 3779504030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Greater Area Rural Health Planning Corporation Physician Assistant CurrentSince Feb 20, 2023 Accepting new patients
Christopher Greater Area Rural Health Planning Corporation CurrentSince Feb 20, 2023 Accepting new patients
Memorial Management Inc Past Accepting new patients
Memorial Management Inc Past Accepting new patients
Christopher Greater Area Rural Health Planning Corporation Past Accepting new patients

Locations

103 Commerce St
Carmi, IL 62821
Phone (618) 384-5686

7211 US 45 S
Ste C
Carrier Mills, IL 62917
Phone (618) 994-2321

4241 State Highway 14
Christopher, IL 62822
Phone (618) 724-2136

4241 Highway 14 W
Christopher, IL 62822
Phone (618) 724-1684

1401 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-2951

14410 Route 37
Johnston City, IL 62951
Phone (618) 937-6409

9525 Gold Hill Rd
Shawneetown, IL 62984
Phone (618) 269-3454

Interoperability endpoints

  • Direct secure messaging: jennifer.price@crhpc.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1538124284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 US 45 S",
            "city": "CARRIER MILLS",
            "state": "IL",
            "postal_code": "629171305",
            "telephone_number": "618-294-8246",
            "fax_number": "618-294-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrier Mills, IL

Sources for this page

Verify at the official NPI Registry.