Individual provider Active NPI

Jazzcelyn L Schertz, DNP

  • Family Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1811172836
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018022344 Issued in MO
Practice address
15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone
(636) 735-4755
NPI assigned
Jan 9, 2008
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
209006430MedicaidIL

Other names 1

  • Ms. Jazzcelyn Gomez Loleng Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080223000029 IL Practitioner - Nurse Practitioner 1557445939 Reassigns benefits to 8 organizations
I20190220002330 MO Practitioner - Nurse Practitioner 1557445939 Reassigns benefits to 2 organizations

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
Curana Health of Illinois PCGroup PAC ID 1456724434, 35 clinicians
Thomas H Boyd Memorial HospitalGroup PAC ID 8123085560, 30 clinicians

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

LicenseStateTypeSpecialty
2018022344MOMDFamily Nurse Practitioner
209006430ILMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Aco Clinical Services Inc CurrentSince Aug 5, 2024 Accepting new patients
Thomas H. Boyd Memorial Hospital CurrentSince Jan 11, 2026 Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Aug 16, 2023 Accepting new patients
St Anthonys Physician Organization Hospitalist Services, L.C. CurrentSince Dec 23, 2024 Accepting new patients
Altea Medical Illinois PLLC CurrentSince Sep 12, 2024 Accepting new patients
Eaves Health Partners PLLC CurrentSince Apr 1, 2022 Accepting new patients
Post Acute Medical PLLC CurrentSince Dec 30, 2024 Accepting new patients
Thomas H. Boyd Memorial Hospital CurrentSince Jan 11, 2026 Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC CurrentSince Dec 23, 2024 Accepting new patients
Curana Health of Illinois PC CurrentSince Mar 25, 2025 Accepting new patients
CH Specialty Services Il PLLC CurrentSince Mar 25, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.