Crystal S Jesenick, ANP-C - Medicare Nurse Practitioner in O Fallon, IL

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Crystal S Jesenick, ANP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in O Fallon, Illinois. Her current practice location is 922 Talon Dr, Suite B, O Fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 972-5641.

Crystal S Jesenick is licensed to practice in Illinois (license number 209006003) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396831616.

Contact Information

Crystal S Jesenick, ANP-C
922 Talon Dr, Suite B,
O Fallon, IL 62269-1848
(618) 972-5641
(314) 270-5283

Map and Direction




Provider's Profile

Full NameCrystal S Jesenick
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location922 Talon Dr, O Fallon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396831616
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 10/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7416953369
  • Enrollment ID: I20061017000103

Medical Identifiers

Medical identifiers for Crystal S Jesenick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396831616NPI-NPPES
427014204MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 209006003 (Illinois)Primary

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. Crystal S Jesenick allows following entities to bill medicare on her behalf.
Entity NameWashington County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659321560
PECOS PAC ID: 4880599844
Enrollment ID: O20031209000278
Entity NameSwedishamerican Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962451732
PECOS PAC ID: 5799698346
Enrollment ID: O20031215000012
Entity NameCogent Healthcare Of Illinois, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487897849
PECOS PAC ID: 6507981008
Enrollment ID: O20100920001157
Entity NameSound Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20111012000272
Entity NameGranite City Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669926424
PECOS PAC ID: 8527356591
Enrollment ID: O20161006000282
Entity NameApp Of Illinois Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053860080
PECOS PAC ID: 7517245384
Enrollment ID: O20161028001650
Entity NameTrinity Medical Staffing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770103426
PECOS PAC ID: 1759712698
Enrollment ID: O20200511000598
Entity NameCarle West Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467074138
PECOS PAC ID: 8921420308
Enrollment ID: O20200613000147
Entity NameMidwest Emergency Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710647615
PECOS PAC ID: 8022401256
Enrollment ID: O20220210000357
Entity NameMidwest Inpatient Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821758608
PECOS PAC ID: 3072908474
Enrollment ID: O20220322002045
Entity NameAhs Il Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659098101
PECOS PAC ID: 5496111676
Enrollment ID: O20230512001300

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. Crystal S Jesenick 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
Crystal S Jesenick, ANP-C
825 Saybrook Falls Dr,
Fairview Heights, IL 62208-2168

Ph: (618) 972-5641		Crystal S Jesenick, ANP-C
922 Talon Dr, Suite B,
O Fallon, IL 62269-1848

Ph: (618) 972-5641

Reviews and Comments


Nurse Practitioner Nurses in O Fallon, IL

Kathy Liefer, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3 Saint Elizabeth Blvd, O Fallon, IL 62269
Phone: 618-641-5803    
Annamaria Griffith, DNP, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1405 N Green Mount Rd Ste 240, O Fallon, IL 62269
Phone: 618-632-9000    
Ms. Shambra Cullum, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269
Phone: 217-994-1485    
Mrs. Amy Marie Buck, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 670 Pierce Blvd, O Fallon, IL 62269
Phone: 618-206-2070    
Sarah Jane Brashear, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 320 E Highway 50, O Fallon, IL 62269
Phone: 888-577-6337    
Caitlin Alonzo,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Saint Elizabeth Blvd, O Fallon, IL 62269
Phone: 618-234-2120    
Derek Pechacek, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 320 E Highway 50, O Fallon, IL 62269
Phone: 618-624-3368    Fax: 618-624-3387

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.