Individual provider Active NPI

Jenna Bianca Batara Dionisio, D.O.

  • Family Medicine Physician
  • Monmouth, IL
National Provider Identifier
1659831998
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036172909 Issued in IL
Practice address
1000 W Harlem Ave
Monmouth, IL 61462
Phone
(309) 734-1414
Fax
(309) 734-0323
NPI assigned
Mar 22, 2019
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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 036172909 IL Primary

Addresses

Primary practice location

1000 W Harlem Ave
Monmouth, IL 61462

Mailing address

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenna.dionisio001@trinity-health.org

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
I20250102001830 IL Practitioner - Family Practice 2264763580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Healthcare SystemGroup PAC ID 4284541806, 94 clinicians

Practice addresses (Care Compare)

1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 734-3141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036172909ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System CurrentSince Dec 4, 2024 Accepting new patients
Osf Healthcare System Current Accepting new patients
Osf Healthcare System CurrentSince Dec 4, 2024 Accepting new patients

Locations

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

Interoperability endpoints

  • Direct secure messaging: jdionisio42850@direct.trinity-health.org
  • Direct secure messaging: jenna.dionisio001@trinity-health.org

Organizations & group practices 3

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.

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1659831998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W HARLEM AVE",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "61462",
            "telephone_number": "309-734-1414",
            "fax_number": "309-734-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W HARLEM AVE",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "61462",
            "telephone_number": "309-734-1414",
            "fax_number": "309-734-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONISIO",
        "first_name": "JENNA",
        "middle_name": "BIANCA BATARA",
        "name_prefix": "Miss",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036172909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenna.dionisio001@trinity-health.org",
            "affiliation": "N",
            "address_1": "1500 E Sherman Blvd",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monmouth, IL

Sources for this page

Verify at the official NPI Registry.