Jennifer Guebert, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

209.022624 Issued in IL

Practice address

940 Maple Rd
Homewood, IL 60430-2061

Phone

(800) 427-1902

NPI assigned

Jan 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gerio Primary Care PCGroup PAC ID 0749640969, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of Southern Illinois, Inc Hospice, Belleville, IL, CCN 141504
• Memorial Hospital Hospital, Chester, IL, CCN 141338
• HSHS St Elizabeth's Hospital Hospital, O Fallon, IL, CCN 140187

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEEBDD

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.

• Gerio Primary Care PC

  • Geriatric Medicine (Family Medicine) Physician
  • Beckemeyer, IL
  • NPI 1700578846
  Medicare reassignment Care Compare group NPD
• Ih Physician Services, PC

  dba Heartland Hospice (Northbrook)

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Buffalo Grove, IL
  • NPI 1790566206
  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  IL

  Medicare reassignment NPD
• Southerncare, Inc.

  dba Heartland

  • Community Based Hospice Care Agency
  • Chadds Ford, PA
  • NPI 1275232795
  NPD
• Gerio Primary Care

  • Rural Health Clinic/Center
  • Breese, IL
  • NPI 1700681459
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospice of Southern Illinois, Inc.

  • Community Based Hospice Care Agency
  • Belleville, IL
  • NPI 1720081805
  Care Compare affiliation
• Memorial Hospital

  • Critical Access Hospital
  • Chester, IL
  • NPI 1851390132
  Care Compare affiliation
• St Elizabeths Hospital of the Hospital Sisters of the Third Order

  dba HSHS St. Elizabeth's Hospital

  • General Acute Care Hospital
  • O'Fallon, IL
  • NPI 1629057302
  Care Compare affiliation

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1699365320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST FL 15",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "800-427-1902",
            "fax_number": "800-564-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 MAPLE RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302061",
            "telephone_number": "800-427-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEBERT",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.022624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Denise Griffith
• Anthony L. Griglione, D.M.D.
• Robert Michael Grohe,, O.D.
• Shepherd Gross Jr., DDS
• Karen J Grube, PT
• Guided Bloom
• Guided Hearts LLC
• Guided Hearts LLC
• Katrina Guthrie, LMT
• Chloe Haberkorn

• Gerontology Nurse Practitioner in Homewood, IL
• Providers in Homewood, IL by specialty
• Gerontology Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.