JENNY M DANIELS (FNP-BC) – Obstetrics & Gynecology Nurse Practitioner, NPI 1346783230

JENNY M DANIELS (FNP-BC) is a healthcare provider. based in Maryville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 209013936 (IL). The NPI Number for JENNY M DANIELS (FNP-BC) is 1346783230

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JENNY M DANIELS (FNP-BC)
NPI
1346783230
Phone
(618) 288-7408
Address
2023 VADALABENE DR
Enumeration Date
23 November 2016
Last Update Date
10 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182889320
Graduation Year
2015 (11 years ago)
PAC ID
1456638048
Group Practice PAC ID
5193792018
Professional Enrollment ID
I20200623000225
Address ID
IL620628560MA6810X162X403

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness95
Years active:9State licenses:2Other names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for JENNY M DANIELS (FNP-BC)

  • 2023, Vadalabene Drive, Chinatown, Maryville, Madison County, Illinois, 62062, United States

    STE 200

    MARYVILLE, IL 620625636

    Phone: (618) 288-7408

    Fax: (618) 288-7418

    Type: Mailing

  • 163 E BETHALTO DR

    BETHALTO, IL 620101801

    Phone: (618) 433-6640

    Fax: (618) 433-6645

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Exeltis, USA Inc. ($51).

Total Amount

$160

General + Research + Ownership

Payments

9

Total payment records

General Amount

$160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200623000225INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9894$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2222$0
81002Urinalysis, manual test2020$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1717$0
View full utilization report →

Insurance plans in this area (ZIP 62062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193792018View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
General SurgeryIL
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
General SurgeryIL
-IL
Family PracticeMO
Family PracticeIL

Reviews

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Frequently asked questions

What federal number belongs to JENNY M DANIELS (FNP-BC)?
The federal identifier for JENNY M DANIELS (FNP-BC) is NPI 1346783230.
Is JENNY M DANIELS (FNP-BC)'s NPI currently valid?
The extract we use shows JENNY M DANIELS (FNP-BC) as active.
What does JENNY M DANIELS (FNP-BC) treat or focus on?
Patients typically see JENNY M DANIELS (FNP-BC) under the specialty Obstetrics & Gynecology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JENNY M DANIELS (FNP-BC)'s primary listing?
We display Maryville, Illinois because that is what the record indicates for JENNY M DANIELS (FNP-BC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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