Individual provider Active NPI

Jennifer Lynn Lemaster

  • Family Nurse Practitioner
  • Monmouth, IL
National Provider Identifier
1669050738
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209023153 Issued in IL
Practice address
418 N C St
Monmouth, IL 61462-1115
Phone
(708) 942-5592
NPI assigned
Mar 31, 2021
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209023153 IL Primary

Addresses

Primary practice location

418 N C St
Monmouth, IL 61462-1115

Mailing address

418 N C St
Monmouth, IL 61462-1115
Phone (708) 942-5592

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenn_0629@hotmail.com

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
I20220719003454 IL Practitioner - Nurse Practitioner 8022499227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graham Hospital AssociationGroup PAC ID 2769375021, 124 clinicians

Practice addresses (Care Compare)

530 N Seminary St
Galesburg, IL 61401-3739
Phone (309) 647-5240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209023153ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Graham Hospital Association CurrentSince May 1, 2024 Accepting new patients
McDonough County Hospital District CurrentSince Nov 1, 2022 Accepting new patients
McDonough County Hospital District CurrentSince Nov 1, 2022 Accepting new patients
Graham Hospital Association CurrentSince May 1, 2024 Accepting new patients
Graham Hospital Association Current Accepting new patients

Locations

175 S Main St
Canton, IL 61520
Phone (309) 647-3937

180 S Main St
Canton, IL 61520
Phone (309) 647-5240

530 N Seminary St
Galesburg, IL 61401

503 E Grant St
Macomb, IL 61455
Phone (309) 833-5917

515 E Grant St
Ste 213
Macomb, IL 61455
Phone (309) 836-1700

2 Americinn Way
Ste B
Monmouth, IL 61462
Phone (309) 715-7362

Interoperability endpoints

  • Direct secure messaging: jennifer.lemaster.d1.p29@direct.fhn-fqhc.nextgenshare.com
  • Direct secure messaging: jennifer.lemaster.d2.p29@direct.fhn-fqhc.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1669050738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N C ST",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621115",
            "telephone_number": "708-942-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N C ST",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621115",
            "telephone_number": "708-942-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMASTER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-04-16",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209023153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenn_0629@hotmail.com",
            "affiliation": "N",
            "address_1": "418 N C St",
            "city": "Monmouth",
            "state": "IL",
            "country_code": "US",
            "postal_code": "614621115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monmouth, IL

Sources for this page

Verify at the official NPI Registry.