Individual provider Active NPI

Jennifer Ann Watson, APRN

  • Family Nurse Practitioner
  • Sparta, IL
National Provider Identifier
1922576859
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018430 Issued in IL
Practice address
1300 N Market St
Sparta, IL 62286-1048
Phone
(618) 443-2177
Fax
(618) 443-1383
NPI assigned
Nov 8, 2018
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209018430 IL Primary

Addresses

Primary practice location

1300 N Market St
Sparta, IL 62286-1048

Mailing address

207 S Burns Ave
Sparta, IL 62286-1857
Phone (618) 443-4138

Other practice location 1

207 S Burns Ave
Sparta, IL 62286-1857
Phone (618) 443-3084

Other identifiers 1

IdentifierTypeStateIssuer
209018430OtherILSTATE OF ILLINOIS APN LICENSE NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address fhc@spartahospital.hin.us
Direct Messaging Address nch@spartahospital.hin.us

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
I20190104000811 IL Practitioner - Nurse Practitioner 1456697903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 N Market St
Sparta, IL 62286-1048
Phone (618) 443-4138

205 S Burns Ave
Sparta, IL 62286-1867
Phone (618) 443-6821

207 S Burns Ave
Sparta, IL 62286-1867
Phone (618) 443-3084

211 S Burns Ave
Sparta, IL 62286-1895
Phone (618) 443-1303

215 S Burns Ave
Sparta, IL 62286-1894
Phone (618) 443-4889

818 E Broadway St
Sparta, IL 62286-1820
Phone (618) 443-2177

PO Box
Suite 378
Sparta, IL 62286

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209018430ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics CurrentSince Feb 1, 2019 Accepting new patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics Past Accepting new patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics Past Accepting new patients

Locations

1300 N Market St
Sparta, IL 62286
Phone (618) 443-4138

207 S Burns Ave
Sparta, IL 62286
Phone (618) 443-3084

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

Interoperability endpoints

  • Direct secure messaging: fhc@spartahospital.hin.us

Organizations & group practices 3

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": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1922576859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S BURNS AVE",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861857",
            "telephone_number": "618-443-4138",
            "fax_number": "618-443-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N MARKET ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861048",
            "telephone_number": "618-443-2177",
            "fax_number": "618-443-1383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 S Burns Ave",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "IL",
            "postal_code": "622861857",
            "country_code": "US",
            "telephone_number": "618-443-3084",
            "fax_number": "618-443-1348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS APN LICENSE NUMBER",
            "identifier": "209018430",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fhc@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "207 S Burns Ave",
            "city": "Sparta",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622861857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nch@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "1300 N Market St",
            "city": "Sparta",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622861048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sparta, IL

Sources for this page

Verify at the official NPI Registry.