NPIMap

Individual provider Active NPI

Jennifer Rose Carroll Reed, M.D.

  • Internal Medicine Physician
  • Stronghurst, IL
National Provider Identifier
1730525320
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036140446 Issued in IL
Practice address
101 S Division St
Stronghurst, IL 61480-5033
Phone
(309) 924-2424
NPI assigned
May 22, 2013
Last updated
Dec 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036140446 IL Primary

Addresses

Primary practice location

101 S Division St
Stronghurst, IL 61480-5033

Mailing address

PO Box 198
Oquawka, IL 61469-0198
Phone (309) 867-2202

Other practice location 1

1204 Highway 164 East
Oquawka, IL 61469-2859
Phone (309) 867-2734

Other identifiers 1

IdentifierTypeStateIssuer
036140446MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160720002644 IL Practitioner - Internal Medicine 1254573157 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Southern Illinois University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital AssociationGroup PAC ID 0244134682, 39 clinicians

Practice addresses (Care Compare)

1454 N Co Rd 2050
PO Box 160
Carthage, IL 62321-0160

1454 N County Rd
Suite 2050
Carthage, IL 62321-0160
Phone (217) 357-8500

671 Wabash Ave
Carthage, IL 62321-1443
Phone (217) 357-2171

671 Wabash Ave PO Box
Suite 357
Carthage, IL 62321-0357

PO Box
Suite 160
Carthage, IL 62321-0160

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036140446ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Memorial Hospital Association Current Accepting new patients
Hancock County Health Department CurrentSince May 21, 2024 Accepting new patients
Memorial Hospital Association CurrentSince Nov 1, 2020 Accepting new patients
Memorial Hospital Association CurrentSince Nov 1, 2020 Accepting new patients
Major Hospital Past Accepting new patients
Memorial Hospital Association Past Accepting new patients

Locations

1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131

671 Wabash Ave
Carthage, IL 62321
Phone (217) 357-2171

501 E Main St
La Harpe, IL 61450
Phone (217) 659-3844

Interoperability endpoints

  • Direct secure messaging: jennifer.reed.p29@direct.fhn-fqhc.nextgenshare.com
  • Direct secure messaging: jreed782538@direct.unitypoint.org

Organizations & group practices 7

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1730525320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198",
            "city": "OQUAWKA",
            "state": "IL",
            "postal_code": "614690198",
            "telephone_number": "309-867-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S DIVISION ST",
            "city": "STRONGHURST",
            "state": "IL",
            "postal_code": "614805033",
            "telephone_number": "309-924-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 Highway 164 East",
            "address_purpose": "LOCATION",
            "city": "Oquawka",
            "state": "IL",
            "postal_code": "614692859",
            "country_code": "US",
            "telephone_number": "309-867-2734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "JENNIFER",
        "middle_name": "ROSE CARROLL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036140446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036140446",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stronghurst, IL

Sources for this page

Verify at the official NPI Registry.