Jacklyn M Fitzpatrick, GNP-C in Benton, IL - Medicare Nurse Practitioner

Jacklyn M Fitzpatrick, GNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Benton, Illinois. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Christopher Greater Area Rural Health Planning Corp, Select Physical Therapy Holdings Inc and her current practice location is 206 E Church St Ste B, Benton, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 435-9888.

Jacklyn M Fitzpatrick is licensed to practice in Illinois (license number 209012480) 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 1558756205.

Contact Information

	Jacklyn M Fitzpatrick, GNP-C
	206 E Church St Ste B, Benton, IL 62812-2239
	(618) 435-9888
	(618) 435-9889

Map and Direction

Provider's Profile

Full Name	Jacklyn M Fitzpatrick
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	206 E Church St Ste B, Benton, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacklyn M Fitzpatrick graduated from nursing school in 2014

NPI Data:

NPI Number: 1558756205
Provider Enumeration Date: 03/31/2015
Last Update Date: 04/28/2025

Medicare PECOS Information:

PECOS PAC ID: 7012270515
Enrollment ID: I20180416001706

Medical Identifiers

Medical identifiers for Jacklyn M Fitzpatrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558756205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.012480 (Illinois)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	209.012480 (Illinois)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	209012480 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lhc-illinois Home Health Care	Marion, IL	Home health agency
Franklin Hospital	Benton, IL	Hospital
Southern Illinois Hospital Services Dba Herrin Hospital	Herrin, IL	Hospital
Memorial Hospital Of Carbondale	Carbondale, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christopher Greater Area Rural Health Planning Corp	8224947387	46
Select Physical Therapy Holdings Inc	9537076401	1463

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. Jacklyn M Fitzpatrick allows following entities to bill medicare on her behalf.

Entity Name	Christopher Greater Area Rural Health Planning Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639159213 PECOS PAC ID: 8224947387 Enrollment ID: O20040109000561

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. Jacklyn M Fitzpatrick 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
Jacklyn M Fitzpatrick, GNP-C Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-2401	Jacklyn M Fitzpatrick, GNP-C 206 E Church St Ste B, Benton, IL 62812-2239 Ph: (618) 435-9888

Reviews and Comments

Nurse Practitioner Nurses in Benton, IL

Ms. Kayla Lorraine Kimmel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-218-3690
Christy K Williams, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 107 E Smith St Ste B, Benton, IL 62812 Phone: 618-435-9315 Fax: 618-435-9316
Terri Lynn Braddock-hartman, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-435-2969
Natasha Bates, APRN, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 107 E Smith St Ste B, Benton, IL 62812 Phone: 618-435-9315 Fax: 618-435-9316
Mrs. Cindy L Lord, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 N Du Quoin St, Benton, IL 62812 Phone: 618-435-5362
Rose Y Grunert, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Bailey Ln, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-439-7126

Jacklyn M Fitzpatrick, GNP-C - Medicare Nurse Practitioner in Benton, IL