Individual provider Active NPI

Jenna Schrage, NP

  • Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1740728039
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209015049 Issued in IL
Practice address
317 N 5TH St
Springfield, IL 62701-1003
Phone
(618) 514-9941
NPI assigned
Feb 7, 2017
Last updated
Dec 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170523002943 IL Practitioner - Nurse Practitioner 6103193149 Reassigns benefits to 1 organization

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
Midwest Sinus Sleep and Allergy Associates, LLCGroup PAC ID 1850705096, 13 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75.22 of 100Reported as group
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

LicenseStateTypeSpecialty
209015049ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Sinus Sleep & Allergy Associates, LLC CurrentSince Jan 2, 2021 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.

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.