Individual provider Active NPI

Natascha R Jeffries, FNP, PMHNP

  • Family Nurse Practitioner
  • East Saint Louis, IL
National Provider Identifier
1629409362
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.000650 Issued in IL
Practice address
100 N 8TH St Ste 120
East Saint Louis, IL 62201-2989
Phone
(618) 274-9105
Fax
(618) 274-9101
NPI assigned
Dec 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277000650 IL
Family Nurse Practitioner 363LF0000X 277.000650 IL Primary

Addresses

Primary practice location

100 N 8TH St Ste 120
East Saint Louis, IL 62201-2989

Mailing address

100 N 8TH St Ste 120
East Saint Louis, IL 62201-2989
Phone (618) 274-9105

Other practice location 1

2001 State St
East Saint Louis, IL 62205-1803
Phone (618) 271-9191

Other practice location 2

6000 Bond Ave
Centreville, IL 62207-2328
Phone (618) 332-2083

Other practice location 3

209 W Pointe Dr Ste D
Swansea, IL 62226-8310
Phone (618) 795-7994

Other names 1

  • Natascha R Rice Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address natascha.jeffries.1@9559.direct.athenahealth.com Direct
Direct Messaging Address natascha.jeffries.1@9559.direct.athenahealth.com Direct

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
I20140703001409 IL Practitioner - Nurse Practitioner 9032334149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Illinois Healthcare Foundation IncGroup PAC ID 1456256874, 117 clinicians

Practice addresses (Care Compare)

6000 Bond Ave
Centreville, IL 62207-2328
Phone (618) 332-2740

Hospital & facility affiliations

  • Touchette Regional Hospital Inc Hospital, Centreville, IL, CCN 140077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277.000650ILMDFamily Nurse Practitioner
277000650ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Behavioral Health Services, LLC Current Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Aug 1, 2021 Accepting new patients
Southern Illinois Healthcare Foundation, Inc CurrentSince Oct 26, 2023 Accepting new patients
Southern Illinois Regional Wellness Center Past Accepting new patients

Locations

6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740

100 N 8th St
East Saint Louis, IL 62201
Phone (618) 271-0130

100 N 8th St
Ste 120
East Saint Louis, IL 62201
Phone (618) 274-9105

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473

2041 Goose Lake Rd
Sauget, IL 62206

209 W Pointe Dr
Ste D
Swansea, IL 62226
Phone (618) 222-6778

Interoperability endpoints

  • Direct secure messaging: nrice172@yourcarecommunity.org
  • Direct secure messaging: natascha.jeffries.2@9559.direct.athenahealth.com
  • Direct secure messaging: natascha.jeffries.1@9559.direct.athenahealth.com
  • Direct secure messaging: natascha.jeffries.3@9559.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22485/brand/1/csg/1/fhir/r4

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": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1629409362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 8TH ST STE 120",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622012989",
            "telephone_number": "618-274-9105",
            "fax_number": "618-274-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 8TH ST STE 120",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622012989",
            "telephone_number": "618-274-9105",
            "fax_number": "618-274-9101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 State St",
            "address_purpose": "LOCATION",
            "city": "East Saint Louis",
            "state": "IL",
            "postal_code": "622051803",
            "country_code": "US",
            "telephone_number": "618-271-9191",
            "fax_number": "618-271-9617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Bond Ave",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "IL",
            "postal_code": "622072328",
            "country_code": "US",
            "telephone_number": "618-332-2083",
            "fax_number": "618-337-6039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 W Pointe Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622268310",
            "country_code": "US",
            "telephone_number": "618-795-7994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "NATASCHA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277000650",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.000650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natascha.jeffries.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "6000 Bond Ave",
            "city": "Centreville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622072328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natascha.jeffries.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2001 State St",
            "city": "East Saint Louis",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622051803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NATASCHA",
            "last_name": "RICE",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Saint Louis, IL

Sources for this page

Verify at the official NPI Registry.