Jennifer Lynn Stern, APN CNP
Individual provider Active NPI Family Nurse Practitioner · Champaign, IL
NPI 1679558985 · NPPES record last updated Dec 15, 2022
Key facts
- NPI
- 1679558985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209005619 (IL)
- Practice address
- 101 W University Ave
Champaign, IL 61820-3981 - Phone
- (217) 366-1248
- NPI assigned
- Dec 8, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christie Clinic, PLLC
Practice addresses (Care Compare)
101 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-1200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051018000417 | IL | Practitioner - Nurse Practitioner | 2860418001 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christie Clinic, PLLC | Current |
Accepting new patients | |
| Dermatology and Mohs Surgery Institute, LTD. | Current |
Accepting new patients | |
| Midwest Emergency Department Specialists LTD | Current |
Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
3024 E Empire St
Bloomington, IL 61704
Phone (309) 556-7500
3024 E Empire St
Ste E
Bloomington, IL 61704
101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684
1200 N State Route 121
Mt Zion, IL 62549
Phone (217) 864-5531
9118 N Lindbergh Dr
Peoria, IL 61615
Phone (309) 693-3993
530 Park Ave E
Ste 205
Princeton, IL 61356
Phone (815) 872-9491
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
Interoperability endpoints
- jsternaprn357898@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209005619 | IL | Yes |
Addresses
Primary practice location
101 W University Ave
Champaign, IL 61820-3981
Mailing address
101 W University Ave
Champaign, IL 61820-3981
Phone (217) 366-1248
Other providers in Champaign, IL
- Jacob A. Stelle
- Stephenie Austin-Brusatte LCSW PLLC
- Mark Andrew Stephens
- Stephenson Gut Vitality & Health PLLC
- Emily Stephenson
- Keith A Sternhagen
- Trisha C Stetzler
- Steven W Seibert DMD, LTD
- Jamie Sue Stevens
- Deborah L Stewart
All providers in Champaign, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.