Jill Marie Immethun, - Nurse Practitioner in Waterloo, IL

Jill Marie Immethun, is a Nurse Practitioner - Family based in Waterloo, Illinois. Jill Marie Immethun is licensed to practice in Missouri (license number 2014002527) and her current practice location is 502 Alpine Dr, Waterloo, Illinois. She can be reached at her office (for appointments etc.) via phone at (314) 495-8604.

NPI number for Jill Marie Immethun is 1477486595 and her current mailing address is 502 Alpine Dr, Waterloo, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477486595.

Contact Information

Jill Marie Immethun,
502 Alpine Dr,
Waterloo, IL 62298-1082
(314) 495-8604
Not Available

Map and Direction




Provider's Profile

Full NameJill Marie Immethun
GenderFemale
SpecialityNurse Practitioner - Family
Location502 Alpine Dr, Waterloo, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477486595
  • Provider Enumeration Date: 06/08/2026
  • Last Update Date: 06/08/2026

Medical Identifiers

Medical identifiers for Jill Marie Immethun such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477486595NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2014002527 (Missouri)Primary

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. Jill Marie Immethun is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jill Marie Immethun,
502 Alpine Dr,
Waterloo, IL 62298-1082

Ph: (314) 495-8604
Jill Marie Immethun,
502 Alpine Dr,
Waterloo, IL 62298-1082

Ph: (314) 495-8604

Reviews and Comments


Nurse Practitioner Nurses in Waterloo, IL

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Phone: 618-939-4200    Fax: 618-939-4256
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Ms. Carol Ann Glascock, APNP
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Megan Roberts,
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Medicare: Not Enrolled in Medicare
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Macie Strohmeier,
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Medicare: Accepting Medicare Assignments
Practice Location: 509 Hamacher St Ste 102, Waterloo, IL 62298
Phone: 618-939-3939    
Hannah Irene Brasier, PNP-PC
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Medicare: Not Enrolled in Medicare
Practice Location: 224 Bradford Ln, Waterloo, IL 62298
Phone: 618-939-0112    

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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.

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