Jessica R Miskell, INDEPENDENT APN is a medicare enrolled "Nurse Practitioner - Family" physician in Ottawa, Illinois. Her current practice location is
218 W Madison St, Ottawa, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 431-1122.
Jessica R Miskell is licensed to practice in Illinois (license number 277000895) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710256631.
Physician's Profile
| Full Name | Jessica R Miskell |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 218 W Madison St, Ottawa, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jessica R Miskell attended and graduated from in
NPI Data:
- NPI Number: 1710256631
- Provider Enumeration Date: 12/21/2011
- Last Update Date: 02/04/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jessica R Miskell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710256631 | NPI | - | NPPES |
| 277000895 | Other | IL | FULL PRACTICE AUTHORITY APN |
| 1710256631 | Other | IL | NPI |
| 2011016696 | Other | IL | BOARD CERTIFIED BY ANCC |
| 14D2107071 | Other | IL | CLIA EXP 1/5/22 |
| 1750756979 | Other | IL | GROUP NPI |
| 041326705 | Other | IL | REGISTERED NURSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 209009286 (Illinois) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | 209009286 (Illinois) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | 277000895 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209009286 (Illinois) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 277000895 (Illinois) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 209009286 (Illinois) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 277000895 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 277000895 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica R Miskell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica R Miskell, INDEPENDENT APN
218 W Madison St,
Ottawa, IL 61350-2819
Ph: (815) 431-1122 | Jessica R Miskell, INDEPENDENT APN
218 W Madison St,
Ottawa, IL 61350-2819
Ph: (815) 431-1122 |
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