Active NPI
Jessica Nicole Reichert, CNM
- Midwife
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 209026537
- Practice address
- 900 E Walnut St Ste 10
Carbondale, IL 62901-3132 - Phone
- (618) 997-5266
- NPI assigned
- Oct 4, 2022
- Last updated
- Apr 18, 2024
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | |||
| Midwife | 176B00000X | 209026537 | IL | Primary |
Addresses
Primary practice location
900 E Walnut St Ste 10
Carbondale, IL 62901-3132
Mailing address
900 E Walnut St Ste 10
Carbondale, IL 62901-3132
Phone (618) 997-5266
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 S Wall St
Carbondale, IL 62901-3021
Phone (618) 519-9200
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.36 of 100
- Quality
- 84.63
- Improvement activities
- 40
- Cost
- 55.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Health Service and Development Corp | Current | Accepting new patients | |
| Shawnee Health Service and Development Corp | Current | Accepting new patients | |
| Shawnee Health Service and Development Corp | Current | Accepting new patients | |
| Rural Health, Inc. | Current | Accepting new patients | |
| Rural Health, Inc. | Current | Accepting new patients | |
| Shawnee Health Service and Development Corp | Past | Accepting new patients | |
| Rural Health, Inc. | Past | Accepting new patients | |
| Shawnee Health Service and Development Corp | Past | Accepting new patients |
Locations
513 N Main St
Anna, IL 62906
Phone (618) 833-4471
101 S Wall St
Carbondale, IL 62901
Phone (618) 529-0991
1006 S Division St
Carterville, IL 62918
Phone (618) 985-4841
109 California St
Carterville, IL 62918
Phone (618) 985-8221
1506 Sioux Dr
Marion, IL 62959
Phone (618) 997-5270
Interoperability endpoints
- jessica.reichert.1@14668.direct.athenahealth.com
- jessica.reichert.1@7601.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Carterville, IL
- NPI 1639295314
-
- Federally Qualified Health Center (FQHC)
- Anna, IL
- NPI 1982666384
-
dba Longfellow Elementary School Health Center
- Federally Qualified Health Center (FQHC)
- Marion, IL
- NPI 1356055107
-
dba Shawnee Health Pharmacy Carbondale
- Community/Retail Pharmacy
- Carbondale, IL
- NPI 1760253447
-
dba Dongola Medical Clinic
- Federally Qualified Health Center (FQHC)
- Dongola, IL
- NPI 1366506628
-
dba Shawnee Health Care Marion OBGYN
- Federally Qualified Health Center (FQHC)
- Marion, IL
- NPI 1043902752
-
dba Shawnee Health Care, OB/GYN
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1457381774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1790400661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E WALNUT ST STE 10",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013132",
"telephone_number": "618-997-5266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E WALNUT ST STE 10",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013132",
"telephone_number": "618-997-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHERT",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-04",
"last_updated": "2024-04-18",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": null,
"license": null,
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "IL",
"license": "209026537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.