Individual provider Active NPI

Dustin Stewart

  • Family Medicine Physician
  • Jerseyville, IL
National Provider Identifier
1811308380
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036175655 Issued in IL
Practice address
270 Maple Summit Rd
Jerseyville, IL 62052-2004
Phone
(618) 498-7108
Fax
(618) 498-7919
NPI assigned
May 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 65330 MN
Family Medicine Physician 207Q00000X 036175655 IL Primary

Addresses

Primary practice location

270 Maple Summit Rd
Jerseyville, IL 62052-2004

Mailing address

390 Maple Summit Rd
Jerseyville, IL 62052-2000
Phone (618) 498-7518

Other practice location 1

916 4th Ave SW
Pipestone, MN 56164-1890
Phone (507) 825-5811

Other practice location 2

3110 MacCorkle Ave SE
Charleston, WV 25304-1210
Phone (304) 388-5590

Other identifiers 1

IdentifierTypeStateIssuer
15007422OtherILCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dstewart@jch.cernerdirect.com Health Information Exchange (HIE)

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250804003645 IL Practitioner - Family Practice 2466671250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2014
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)

270 Maple Summit Rd
Jerseyville, IL 62052-2004
Phone (618) 498-7108

390 Maple Summit Rd
Jerseyville, IL 62052-2000
Phone (618) 498-2101

400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.85 of 100Reported as group
Quality
89.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036175655ILMDFamily Medicine Physician
65330MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Community Hospital Family Medicine CurrentSince Jul 8, 2025 Accepting new patients
Jersey Community Hospital Current Accepting new patients
Jersey Community Hospital District Family Medicine CurrentSince Jul 8, 2025 Accepting new patients
Jersey Community Hospital Family Medicine Past Accepting new patients

Locations

400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402

270 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-7108

390 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-2101

Interoperability endpoints

  • Direct secure messaging: dstewart@jch.cernerdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1400371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1811308380",
    "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": "270 MAPLE SUMMIT RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522004",
            "telephone_number": "618-498-7108",
            "fax_number": "618-498-7919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 4th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Pipestone",
            "state": "MN",
            "postal_code": "561641890",
            "country_code": "US",
            "telephone_number": "507-825-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041210",
            "country_code": "US",
            "telephone_number": "304-388-5590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-18",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "65330",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036175655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15007422",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dstewart@jch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "HIE JERSEY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "270 Maple Summit Rd",
            "city": "Jerseyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620522004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jerseyville, IL

Sources for this page

Verify at the official NPI Registry.