MS. JENNIFER SHINE HERTER (ANP-C) – Nurse Practitioner, NPI 1720421175

MS. JENNIFER SHINE HERTER (ANP-C) is a healthcare provider. based in Swansea, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP-C. They hold a License No. 209010646 (IL). The NPI Number for MS. JENNIFER SHINE HERTER (ANP-C) is 1720421175

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER SHINE HERTER (ANP-C)
NPI
1720421175
Phone
(618) 233-7055
Address
1 Bronze Pointe Blvd Ste 1A
Enumeration Date
15 April 2013
Last Update Date
19 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3146535000
Graduation Year
2012 (14 years ago)
PAC ID
2769624592
Group Practice PAC ID
8921387390
Professional Enrollment ID
I20140613000692
Address ID
MO630318012FL1225XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:13State licenses:3Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MS. JENNIFER SHINE HERTER (ANP-C)

  • 1 Bronze Pointe Blvd Ste 1A

    Swansea, IL 622261045

    Phone: (618) 233-7055

    Fax: (618) 233-9055

    Type: Location

  • 1 BRONZE POINTE BLVD STE 1A

    SWANSEA, IL 622261045

    Phone: (618) 233-7055

    Fax: (618) 233-9055

    Type: Location

  • 11125 DUNN RD STE 100

    SAINT LOUIS, MO 631366132

    Phone: (314) 653-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 153 Open Payments records for all available years, with a total value of $5,016.

Total Amount is formed as General ($5,016) + Research ($0) + Ownership ($0) = $5,016.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Curonix LLC ($1,270).

Total Amount

$5,016

General + Research + Ownership

Payments

153

Total payment records

General Amount

$5,016

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2014-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130807000763INurse PractitionerILTBD
I20140613000692INurse PractitionerMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes691219$0
62368Electronic analysis and reprogramming of spinal canal drug infusion pump9834$0
62367Electronic analysis of spinal canal drug infusion pump2918$0
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 62226)

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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: 8921387390View full group profile
NameSpecialtyState
Nurse PractitionerMO
Pain Management, AnesthesiologyMO
Nurse PractitionerMO
A N E S T H E S I O L O G YIA
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is there an official ID for MS. JENNIFER SHINE HERTER (ANP-C) in U.S. healthcare records?
The official identifier for MS. JENNIFER SHINE HERTER (ANP-C) is NPI 1720421175.
Would MS. JENNIFER SHINE HERTER (ANP-C) appear as active to a payer?
You can treat MS. JENNIFER SHINE HERTER (ANP-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MS. JENNIFER SHINE HERTER (ANP-C)?
MS. JENNIFER SHINE HERTER (ANP-C)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Illinois is MS. JENNIFER SHINE HERTER (ANP-C) registered?
Use Swansea, Illinois as the headline location for MS. JENNIFER SHINE HERTER (ANP-C) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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