Jennifer Christine Alexander, APN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

277002366 Issued in IL

Practice address

2511 N Main St
East Peoria, IL 61611-1783

Phone

(309) 670-0459

Fax

(309) 670-0416

NPI assigned

Jun 2, 2017

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Inner Wellness of Central Illinois PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • East Peoria, IL
  • NPI 1871164442
  Medicare reassignment NPD Authorized official
• Lisa Schwab, LLC

  • Professional Counselor
  • Peoria Heights, IL
  • NPI 1194193235
  Medicare reassignment NPD
• Methodist Medical Center of Illinois

  dba Methodist Medical Group

  • Family Medicine Physician
  • Peoria, IL
  • NPI 1184670663
  Medicare reassignment NPD
• Proctor Health Systems

  • Family Medicine Physician
  • Peoria, IL
  • NPI 1134173917
  Medicare reassignment NPD
• Highpointe Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • East Peoria, IL
  • NPI 1003776063
  NPD Authorized official
• Methodist Medical Center of Illinois

  • General Acute Care Hospital
  • Peoria, IL
  • NPI 1164474755

  Psychiatric/Mental Health

  NPD
• Proctor Health Systems

  dba Carle Health Princeville

  • Rural Health Clinic/Center
  • Princeville, IL
  • NPI 1356057301
  NPD
• Proctor Health Systems

  dba Proctor Medical Group Surgery - C K Song MD

  • Ambulatory Surgical Clinic/Center
  • Peoria, IL
  • NPI 1720223837
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1992233977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 N MAIN ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111783",
            "telephone_number": "309-670-0459",
            "fax_number": "309-670-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 N MAIN ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111783",
            "telephone_number": "309-670-0459",
            "fax_number": "309-670-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JENNIFER",
        "middle_name": "CHRISTINE",
        "credential": "APN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277002366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FULL PRACTICE AUTHORITY CS LICENSE",
            "identifier": "377002279",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FULL PRACTICE AUTHORITY LICENSE",
            "identifier": "277002366",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Physicians Health Care S.C.
• Elaine Lopez Aguilar, PT
• Elmira Akama, LMT
• Jessica K Albert, APRN
• Tao Marie Albritton
• Christina Anderson
• Deidra Diane Anderson, FNP
• Lyndon Andrews
• Henry C Anyanabor
• Jayne Armitage-Terrian

• Psychiatric/Mental Health Nurse Practitioner in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.

Verify at the official NPI Registry.