Active NPI
Jacqueline B Biggs, APN, RN, MSN.FNP-BC
- Nurse Practitioner
- Carbondale, IL
National Provider Identifier
1982109419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209017267
- Practice address
- 1350 Cedar CT
Carbondale, IL 62901-5336 - Phone
- (618) 529-2955
- Fax
- (618) 457-7823
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 209017267 | IL | |
| Nurse Practitioner | 363L00000X | 209017267 | IL | Primary |
Addresses
Primary practice location
1350 Cedar CT
Carbondale, IL 62901-5336
Mailing address
1350 Cedar CT
Carbondale, IL 62901-5336
Phone (618) 529-2955
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180412001298 | IL | Practitioner - Nurse Practitioner | 7618230293 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vitae Health Medical Illinois, PLLC
Practice addresses (Care Compare)
300 W Lowell Ave
Pontiac, IL 61764-2614
Phone (815) 842-1181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209017267 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical Illinois, PLLC | Current | Accepting new patients |
Locations
300 W Lowell Ave
Pontiac, IL 61764
Phone (815) 842-1181
Interoperability endpoints
- jbiggs06@yourcarecommunity.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547078400000",
"number": "1982109419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 CEDAR CT",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629015336",
"telephone_number": "618-529-2955",
"fax_number": "618-457-7823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 CEDAR CT",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629015336",
"telephone_number": "618-529-2955",
"fax_number": "618-457-7823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIGGS",
"first_name": "JACQUELINE",
"middle_name": "B",
"credential": "APN, RN, MSN.FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-27",
"last_updated": "2019-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "209017267",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209017267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.