Active NPI
Jazzcelyn L Schertz, DNP
- Family Nurse Practitioner
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2018022344
- Practice address
- 15740 S Outer 40 Rd
Chesterfield, MO 63017-2004 - Phone
- (636) 735-4755
- NPI assigned
- Jan 9, 2008
- Last updated
- Aug 21, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2018022344 | MO | Primary |
| Family Health Clinical Nurse Specialist | 364SF0001X | 209006430 | IL |
Addresses
Primary practice location
15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Mailing address
228 Egret CT
Belleville, IL 62223-3259
Phone (618) 792-8051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209006430 | Medicaid | IL |
Other names 1
- Ms. Jazzcelyn Gomez Loleng
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 W Jackson Blvd
Suite 1700
Chicago, IL 60604-3597
Phone (337) 991-9276
800 School St
Carrollton, IL 62016-1436
Phone (217) 942-6946
800 School St
Carrollton, IL 62016-1498
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018022344 | MO | MD | Family Nurse Practitioner |
| 209006430 | IL | MD | Family Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Aco Clinical Services Inc | Current | Accepting new patients | |
| Thomas H. Boyd Memorial Hospital | Current | Accepting new patients | |
| Vitae Health Medical Illinois, PLLC | Current | Accepting new patients | |
| St Anthonys Physician Organization Hospitalist Services, L.C. | Current | Accepting new patients | |
| Altea Medical Illinois PLLC | Current | Accepting new patients | |
| Eaves Health Partners PLLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Thomas H. Boyd Memorial Hospital | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Current | Accepting new patients | |
| Curana Health of Illinois PC | Current | Accepting new patients | |
| CH Specialty Services Il PLLC | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
111 W Jackson Blvd
Ste 1700
Chicago, IL 60604
Phone (708) 223-8405
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444
3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400
401 Saint Marys Dr
Edwardsville, IL 62025
Phone (618) 692-1330
7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759
1101 E State St
Geneva, IL 60134
Phone (630) 232-7544
1201 N Alton St
Lebanon, IL 62254
Phone (618) 537-4401
5151 Church St
Skokie, IL 60077
Phone (773) 436-6600
555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880
393 E Edwardsville Rd
Wood River, IL 62095
Phone (618) 259-4111
15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1891400156
-
- Critical Access Hospital
- Carrollton, IL
- NPI 1811096811
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1841235108
-
dba Mercy Clinic South Hospitalists
- Hospitalist Physician
- Saint Louis, MO
- NPI 1407216336
-
- Geriatric Medicine (Internal Medicine) Physician
- Chicago Heights, IL
- NPI 1447039227
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1922707702
-
- Clinical Social Worker
- Skokie, IL
- NPI 1639847551
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IL
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
-
- Neurology Physician
- Chesterfield, MO
- NPI 1063965093
-
dba Thomas H. Boyd Rural Health Clinic
- Rural Health Clinic/Center
- Carrollton, IL
- NPI 1164507604
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Belleville, IL
- NPI 1720081805
-
- Critical Access Hospital
- Carrollton, IL
- NPI 1811096811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1811172836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 EGRET CT",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622233259",
"telephone_number": "618-792-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15740 S OUTER 40 RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172004",
"telephone_number": "636-735-4755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHERTZ",
"first_name": "JAZZCELYN",
"middle_name": "L",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-09",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2018022344",
"primary": true
},
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "IL",
"license": "209006430",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209006430",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAZZCELYN",
"last_name": "LOLENG",
"middle_name": "GOMEZ",
"prefix": "MS.",
"credential": "FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.