Jenna Marie Lizzo, MD
Individual provider Active NPI Critical Care Medicine (Anesthesiology) Physician · Belleville, IL
NPI 1972009124 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1972009124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Anesthesiology) Physician 207LC0200X
- License
- 036154383 (IL)
- Practice address
- 4500 Memorial Dr
Dept Anesthesiology
Belleville, IL 62226-5360 - Phone
- (800) 862-9980
- Fax
- (314) 362-1185
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Washington University
Washington University Physicians in Illinois Inc
Practice addresses (Care Compare)
1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003
Phone (314) 747-3000
4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 233-7750
Hospital & facility affiliations
- BJC Hospice
- Barnes Jewish Hospital
- Memorial Hospital
- Barnes-Jewish St Peters Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.01 of 100
- Quality
- 76.14
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.43
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.02 of 100
- Quality
- 75.68
- Promoting interoperability
- 78
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 71.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MO, IL, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230808001930 | MO | Practitioner - Anesthesiology |
7416207170 | Reassigns benefits to 1 organization |
| I20231026001152 | IL | Practitioner - Critical Care (Intensivists) |
7416207170 | Reassigns benefits to 1 organization |
| I20240702003099 | IA | Practitioner - Critical Care (Intensivists) |
7416207170 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036154383 | IL | MD | Critical Care Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University Physicians in Illinois, Inc | Current |
Accepting new patients | |
| Washington University | Current |
Accepting new patients | |
| Washington University Physicians in Illinois, Inc. | Current |
Accepting new patients | |
| Washington University | Current |
Accepting new patients | |
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| State University of Iowa | Current |
Accepting new patients |
Locations
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
1404 Cross St
Shiloh, IL 62269
Phone (618) 607-1000
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
660 S Euclid Ave
Saint Louis, MO 63110
660 S Euclid Ave
#8054
Saint Louis, MO 63110
Phone (314) 286-1045
1 Barnes Hsp Plz
Saint Louis, MO 63110
Phone (314) 273-4966
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 036154383 | IL | Yes |
Addresses
Primary practice location
4500 Memorial Dr
Dept Anesthesiology
Belleville, IL 62226-5360
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (800) 862-9980
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200123353 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Other providers in Belleville, IL
- Cynthia Ann Littlefield
- Mary C. Littlejohn
- Todd A Littlejohn
- Livewell Centers LTD
- Livewell Wellness Centers, LLC
- Heather Ashley Lodes
- Manuel Emilio Lopez
- Love Community Behavioral Health Services LLC
- Love Community Home Care Services LLC
- Shirlisa Love
All providers in Belleville, IL · Critical Care Medicine (Anesthesiology) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.