Ms Jennifer Shine Middendorf, ANP-C - Medicare Nurse Practitioner in Swansea, IL

Ms Jennifer Shine Middendorf, ANP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Swansea, Illinois. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Midwest Anesthesia Associates Pc, Midwest Anesthesia Associates Pc and her current practice location is 1 Bronze Pointe Blvd Ste 1a, Swansea, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 233-7055.

Ms Jennifer Shine Middendorf is licensed to practice in Illinois (license number 209010646) 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 1720421175.

Contact Information

Ms Jennifer Shine Middendorf, ANP-C
1 Bronze Pointe Blvd Ste 1a,
Swansea, IL 62226-1045
(618) 233-7055
(618) 233-9055

Map and Direction




Provider's Profile

Full NameMs Jennifer Shine Middendorf
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location1 Bronze Pointe Blvd Ste 1a, Swansea, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Jennifer Shine Middendorf graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1720421175
  • Provider Enumeration Date: 04/15/2013
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2769624592
  • Enrollment ID: I20130807000763

Medical Identifiers

Medical identifiers for Ms Jennifer Shine Middendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720421175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 2013009799 (Missouri)Secondary
363LA2200XNurse Practitioner - Adult Health 209010646 (Illinois)Primary
163W00000XRegistered Nurse 2004030088 (Missouri)Secondary
207LP2900XAnesthesiology - Pain Medicine 209010646 (Illinois)Secondary
363L00000XNurse Practitioner 209010646 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christian Hospital NortheastSaint louis, MOHospital
St Lukes HospitalChesterfield, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Midwest Anesthesia Associates Pc89213873906
Midwest Anesthesia Associates Pc89213873906

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Jennifer Shine Middendorf allows following entities to bill medicare on her behalf.
Entity NameInterventional Pain Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639332505
PECOS PAC ID: 0941368757
Enrollment ID: O20081023000303
Entity NameMidwest Anesthesia Providers Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295189082
PECOS PAC ID: 9830480581
Enrollment ID: O20160628000182
Entity NameMidwest Anesthesia Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558719617
PECOS PAC ID: 8921387390
Enrollment ID: O20161221000252

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. Ms Jennifer Shine Middendorf 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 AddressPractice Location Address
Ms Jennifer Shine Middendorf, ANP-C
1 Bronze Pointe Blvd Ste 1a,
Swansea, IL 62226-1045

Ph: (618) 233-7055
Ms Jennifer Shine Middendorf, ANP-C
1 Bronze Pointe Blvd Ste 1a,
Swansea, IL 62226-1045

Ph: (618) 233-7055

Reviews and Comments


Nurse Practitioner Nurses in Swansea, IL

Mrs. Charity Wambui Nyuguto, FNPC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15 Park Pl, Swansea, IL 62226
Phone: 618-257-0780    Fax: 618-234-7242
Mrs. Donna Mcghee, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12 Park Pl, Swansea, IL 62226
Phone: 618-233-5722    Fax: 618-233-7069
Laura Lorraine Hackworth, APRN,CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 510 Fullerton Rd, Swansea, IL 62226
Phone: 618-233-7666    Fax: 618-233-7461
Brittanie Bardon, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4941 Benchmark Centre Dr, Ste 100, Swansea, IL 62226
Phone: 618-624-9970    Fax: 618-624-9973
Lauren Eck, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4000 N Illinois Ln, Swansea, IL 62226
Phone: 618-236-1000    
Angela Elizabeth Nauman-musick, APRN,CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4948 Benchmark Centre Dr, Swansea, IL 62226
Phone: 618-628-2588    Fax: 618-628-1363
Terri Denise Furfaro, DNP,APN,FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 510 Fullerton Rd, Swansea, IL 62226
Phone: 618-233-7666    Fax: 618-233-7461

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.