Physician Compare National (NPI:1932648318)

HEALTHCARE PROVIDER: JENNIFER JEAN HESS FNP-BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1932648318
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5698050219
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170322002228
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HESS
	Individual professional last name
Provider First Name	JENNIFER
	Individual professional first name
Provider Middle Name	JEAN
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SARAH BUSH LINCOLN HEALTH CENTER
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	5092614867
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	180
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1004 HEALTH CTR DR
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	MATTOON
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	619389253
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140189
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SARAH BUSH LINCOLN HEALTH CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140032
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST ANTHONYS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y