Individual provider Active NPI

Jessica Nicole Reichert, CNM

  • Midwife
  • Carbondale, IL
National Provider Identifier
1790400661
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
209026537 Issued in IL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230427001138 IL Practitioner - Certified Nurse Midwife (CNM) 0042675993 Reassigns benefits to 2 organizations

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Shawnee Health Service and Development Corp CurrentSince May 7, 2024 Accepting new patients
Shawnee Health Service and Development Corp Current Accepting new patients
Shawnee Health Service and Development Corp CurrentSince May 7, 2024 Accepting new patients
Rural Health, Inc. CurrentSince Jun 4, 2024 Accepting new patients
Rural Health, Inc. CurrentSince Jun 4, 2024 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

  • Direct secure messaging: jessica.reichert.1@14668.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.