John L Palcheff, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036075571 Issued in IL

Practice address

390 Maple Summit Rd
Jerseyville, IL 62052-2000

Phone

(618) 498-2101

Fax

(618) 498-8153

NPI assigned

Mar 23, 2006

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jersey Community HospitalGroup PAC ID 4587650445, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jersey County Health Dept Home health agency, Jerseyville, IL, CCN 147063
• Apollo Medical Home health agency, Saint Louis, MO, CCN 267580
• BJC Hospice Hospice, Glen Carbon, IL, CCN 141637
• Jersey Community Hospital Hospital, Jerseyville, IL, CCN 140059
• Jerseyville NSG & Rehab Center Nursing home, Jerseyville, IL, CCN 145465

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as apm

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/f4be81d1-a15e-4e19-9601-5214010ddaac/
• FHIR API: https://fhir-usa.unify.chbase.com/org/jersey-f23a6357
• Direct secure messaging: jpalcheff@jch.cernerdirect.com

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.

• Jersey Community Hospital

  • Personal Emergency Response Attendant
  • Jerseyville, IL
  • NPI 1780609925
  Medicare reassignment Care Compare group NPD
• Jersey Community Hospital

  • General Acute Care Hospital
  • Jerseyville, IL
  • NPI 1184630519
  NPD
• Jersey Community Hospital

  • Rural Health Clinic/Center
  • Jerseyville, IL
  • NPI 1700423696

  Family Medicine

  NPD
• Jersey Community Hospital District

  dba Jersey Community Hospital

  • Anesthesiology Physician
  • Jerseyville, IL
  • NPI 1780617530
  NPD (past)

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

• BJC Home Care Services

  dba BJC Hospice

  • Community Based Hospice Care Agency
  • Glen Carbon, IL
  • NPI 1316252463
  Care Compare affiliation
• Helia Healthcare of Jerseyville LLC

  dba Jerseyville Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Jerseyville, IL
  • NPI 1114915675

  Nursing home

  Care Compare affiliation
• Jersey Community Hospital

  • General Acute Care Hospital
  • Jerseyville, IL
  • NPI 1184630519
  Care Compare affiliation
• Jersey County Health Department

  • Home Health Agency
  • Jerseyville, IL
  • NPI 1649270729
  Care Compare affiliation
• Apollo Medical Holdings LLC

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1811432180
  Care Compare affiliation

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1760442032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MAPLE SUMMIT RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522000",
            "telephone_number": "618-498-7518",
            "fax_number": "618-498-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 MAPLE SUMMIT RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522000",
            "telephone_number": "618-498-2101",
            "fax_number": "618-498-8153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 S State St",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "62052",
            "country_code": "US",
            "telephone_number": "618-639-9255",
            "fax_number": "618-639-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "523 S Main St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "IL",
            "postal_code": "620161256",
            "country_code": "US",
            "telephone_number": "217-942-3326",
            "fax_number": "217-942-9833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Myrtle",
            "address_purpose": "LOCATION",
            "city": "Hardin",
            "state": "IL",
            "postal_code": "620471002",
            "country_code": "US",
            "telephone_number": "618-576-9407",
            "fax_number": "618-576-2260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 Maple Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "620522004",
            "country_code": "US",
            "telephone_number": "618-498-7108",
            "fax_number": "618-496-7919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 S State St",
            "address_purpose": "LOCATION",
            "city": "Roodhouse",
            "state": "IL",
            "postal_code": "620821544",
            "country_code": "US",
            "telephone_number": "217-589-4383",
            "fax_number": "217-589-4409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 E County Rd",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "620523125",
            "country_code": "US",
            "telephone_number": "618-498-8467",
            "fax_number": "618-639-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALCHEFF",
        "first_name": "JOHN",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036075571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075571",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpalcheff@jch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "HIE JERSEY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "390 Maple Summit Rd",
            "city": "Jerseyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620522000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpalcheff@jch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "HIE JERSEY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "414 S State St",
            "city": "Roodhouse",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620821544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Olivia Nairn, APRN, FNP-BC
• Kelsi Neudecker
• April Elaine Newell
• Pain Relief Center
• Leslie Palos
• Sherrie E Pearse, BEHAVIOR TECHNICIAN
• Petersen Health Network, LLC (Willow Rose Rehabilitation & Health Care)
• Phillips Investment, LLC - Jerseyville Operation Series
• Katelyn Sue Phillips, DNP

• Family Medicine Physician in Jerseyville, IL
• Providers in Jerseyville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.