| Jennifer Little, NP | |
|
603 Medical Pkwy, Enterprise, OR 97828-5124 | |
| (541) 426-5460 | |
| (541) 426-7901 |
| Full Name | Jennifer Little |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 603 Medical Pkwy, Enterprise, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134679509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3010784 (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209029170 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of Southern Ill, Inc | Belleville, IL | Hospice |
| Franklin Hospital | Benton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Medical Staffing Llc | 1759712698 | 39 |
| Franklin Hospital District | 4082516042 | 34 |
| Franklin Hospital District | 4082516042 | 34 |
| Entity Name | Franklin Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255369427 PECOS PAC ID: 4082516042 Enrollment ID: O20040121001102 |
| Entity Name | Hamilton Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609837665 PECOS PAC ID: 6608865985 Enrollment ID: O20040511001018 |
| Entity Name | Statera Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
| Entity Name | Trinity Medical Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770103426 PECOS PAC ID: 1759712698 Enrollment ID: O20200511000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Little, NP 603 Medical Pkwy, Enterprise, OR 97828-5124 Ph: (571) 426-7900 | Jennifer Little, NP 603 Medical Pkwy, Enterprise, OR 97828-5124 Ph: (541) 426-5460 |
Shannon Elizabeth Wiedeman, NP AND RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 207 Sw 1st St, Enterprise, OR 97828 Phone: 541-426-0801 Fax: 541-426-0802 | |
Anna L Hiebert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 603 Medical Pkwy, Enterprise, OR 97828 Phone: 509-855-2438 | |
Ms. Katie L Weller, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 603 Medical Pkwy, Enterprise, OR 97828 Phone: 541-426-7900 Fax: 541-426-7901 | |
Theresa A Russell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 406 Ne 1st St, Enterprise, OR 97828 Phone: 541-426-4502 Fax: 541-426-6403 | |
Sarah Georgine Peterson, DNP,ARNP,FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 107 North River Street, Suite B, Enterprise, OR 97828 Phone: 541-263-1225 | |
Jacqueline Marie Russell, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 606 Medical Pkwy, Enterprise, OR 97828 Phone: 541-426-4524 Fax: 541-426-3035 |