Individual provider Active NPI

Jacqueline Sue Baalman, FNP-BC

  • Family Nurse Practitioner
  • Alton, IL
National Provider Identifier
1912236183
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209007954 Issued in IL
Practice address
1 Professional Dr
Alton, IL 62002-5068
Phone
(314) 996-4545
Fax
(314) 273-0140
NPI assigned
Dec 16, 2009
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209007954 IL
Family Nurse Practitioner 363LF0000X 209007954 IL Primary
Nurse Practitioner 363L00000X 209007954 IL

Addresses

Primary practice location

1 Professional Dr
Alton, IL 62002-5068

Mailing address

PO Box 959203
Saint Louis, MO 63195-9203
Phone (618) 498-7518

Other practice location 1

2 Myrtle Lane
Hardin, IL 62047
Phone (618) 576-9407

Other practice location 2

163 E Bethalto Dr
Bethalto, IL 62010-1801
Phone (618) 433-6640

Other names 1

  • Jacqueline S Lorsbach Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jbaalman@jch.cernerdirect.com Health Information Exchange (HIE)
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110630000529 IL Practitioner - Nurse Practitioner 0244418861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians
Jersey Community HospitalGroup PAC ID 4587650445, 62 clinicians

Practice addresses (Care Compare)

1 Professional Dr
Alton, IL 62002-5068
Phone (314) 996-4545

2 Myrtle
Hardin, IL 62047-1002
Phone (618) 576-9407

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209007954ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Community Hospital Current Accepting new patients
Fairview Heights Medical Group SC PastSince Dec 14, 2025 Accepting new patients

Locations

2 Myrtle
Hardin, IL 62047
Phone (618) 498-7383

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

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

Interoperability endpoints

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

Organizations & group practices 2

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 1

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": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1912236183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631959203",
            "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": "1 PROFESSIONAL DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025068",
            "telephone_number": "314-996-4545",
            "fax_number": "314-273-0140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Myrtle Lane",
            "address_purpose": "LOCATION",
            "city": "Hardin",
            "state": "IL",
            "postal_code": "62047",
            "country_code": "US",
            "telephone_number": "618-576-9407",
            "fax_number": "618-576-2260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "163 E Bethalto Dr",
            "address_purpose": "LOCATION",
            "city": "Bethalto",
            "state": "IL",
            "postal_code": "620101801",
            "country_code": "US",
            "telephone_number": "618-433-6640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAALMAN",
        "first_name": "JACQUELINE",
        "middle_name": "SUE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209007954",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209007954",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209007954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbaalman@jch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "HIE JERSEY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Myrtle Lane",
            "city": "Hardin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "163 E Bethalto Dr",
            "city": "Bethalto",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620101801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Professional Dr",
            "city": "Alton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620025068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "LORSBACH",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.