Active NPI
Jenna Schrage, NP
- Nurse Practitioner
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209015049
- Practice address
- 317 N 5TH St
Springfield, IL 62701-1003 - Phone
- (618) 514-9941
- NPI assigned
- Feb 7, 2017
- Last updated
- Dec 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209015049 | IL | Primary |
| Interventional Cardiology Physician | 207RI0011X | 209015049 | IL |
Addresses
Primary practice location
317 N 5TH St
Springfield, IL 62701-1003
Mailing address
506 E Brook Dr
Aviston, IL 62216-3610
Phone (618) 514-9941
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1179 Fortune Blvd
Shiloh, IL 62269-7377
Phone (618) 628-0715
4224 Lincolnshire Dr
Suite B
Mount Vernon, IL 62864-2156
Phone (618) 816-7722
Hospital & facility affiliations
- HSHS St Elizabeth's Hospital
- Good Samaritan Regional HLTH Center
- HSHS Holy Family Hospital Inc
- St Josephs Hospital
- Anderson Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.22 of 100
- Quality
- 63.94
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 70.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209015049 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Sinus Sleep & Allergy Associates, LLC | Current | Accepting new patients |
Locations
1000 Eleven S
Ste 4F
Columbia, IL 62236
4224 Lincolnshire Dr
#B
Mount Vernon, IL 62864
Phone (618) 242-0101
1179 Fortune Blvd
Shiloh, IL 62269
Phone (309) 368-8984
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Mount Vernon, IL
- NPI 1962000513
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- General Acute Care Hospital
- Greenville, IL
- NPI 1205850690
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
-
dba Clinton County Rural Health
- Rural Health Clinic/Center
- Breese, IL
- NPI 1013002658
Hospital
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Breese, IL
- NPI 1457319154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1740728039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 E BROOK DR",
"city": "AVISTON",
"state": "IL",
"postal_code": "622163610",
"telephone_number": "618-514-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 N 5TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627011003",
"telephone_number": "618-514-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRAGE",
"first_name": "JENNA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209015049",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "209015049",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.