Jessica R Therien, APRN, FNP-C in Edwardsville, IL

Jessica R Therien, APRN, FNP-C is a medicare enrolled "Nurse Practitioner" in Edwardsville, Illinois. Her current practice location is 2122 Troy Rd Ste 130, Edwardsville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 800-4500.

Jessica R Therien is licensed to practice in Illinois (license number 209026898) 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 1164122974.

Contact Information

	Jessica R Therien, APRN, FNP-C
	2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540
	(618) 800-4500
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica R Therien
Gender	Female
Speciality	Nurse Practitioner
Location	2122 Troy Rd Ste 130, Edwardsville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164122974
Provider Enumeration Date: 03/09/2023
Last Update Date: 09/26/2025

Medicare PECOS Information:

PECOS PAC ID: 5799141396
Enrollment ID: I20230524002960

Medical Identifiers

Medical identifiers for Jessica R Therien such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164122974	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209026898 (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. Jessica R Therien allows following entities to bill medicare on her behalf.

Entity Name	Fairview Heights Medical Group Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679503668 PECOS PAC ID: 6800784083 Enrollment ID: O20040309000650

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 Therien 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 Therien, APRN, FNP-C 4600 Memorial Dr Ste 360, Belleville, IL 62226-5366 Ph: (618) 222-7280	Jessica R Therien, APRN, FNP-C 2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 Ph: (618) 800-4500

Reviews and Comments

Nurse Practitioner Nurses in Edwardsville, IL

Jason Smith, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 413 Sanner St, Edwardsville, IL 62025 Phone: 618-203-3733
Ranita R Keller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2122 Troy Rd Ste 130, Edwardsville, IL 62025 Phone: 618-800-4500
Gerthy Cipus Pierre, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1706 Cloverdale Dr, Edwardsville, IL 62025 Phone: 618-482-6959
Amanda Brittany Weiss, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1329 Gerber Woods Dr, Edwardsville, IL 62025 Phone: 618-616-1234
Jill Marie Heitzig, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Hairpin Drive, Edwardsville, IL 62026 Phone: 618-650-3956
Landry Crabtree, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2122 Troy Rd, Edwardsville, IL 62025 Phone: 618-433-6410

Jessica R Therien, APRN, FNP-C - Medicare Nurse Practitioner in Edwardsville, IL