JON NILES JESSEN (M.D.) – Emergency Medicine Physician, NPI 1912970823

JON NILES JESSEN (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036071861 (IL). The NPI Number for JON NILES JESSEN (M.D.) is 1912970823

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
JON NILES JESSEN (M.D.)
NPI
1912970823
Phone
(217) 522-3122
Address
PO BOX 955277
Enumeration Date
10 February 2006
Last Update Date
29 April 2024

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2177883156
Graduation Year
1984 (42 years ago)
PAC ID
0446152979
Group Practice PAC ID
5193627727
Professional Enrollment ID
I20060131000162
Address ID
IL627813757SP701XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

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Provider Addresses for JON NILES JESSEN (M.D.)

  • PO BOX 955277

    SAINT LOUIS, MO 631955277

    Phone: (217) 522-3122

    Type: Mailing

  • Memorial Medical Center, 701, North 1st Street, Springfield, Sangamon County, Illinois, 62781, United States

    SPRINGFIELD, IL 627810001

    Phone: (217) 522-3122

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-01-31

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
I20060131000162IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making259251$0
99284Emergency department visit with moderate level of medical decision making6664$0
99291Critical care, first 30-74 minutes5452$0
99283Emergency department visit with low level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 63195)

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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: 5193627727View full group profile
NameSpecialtyState
Nurse PractitionerIL
Emergency MedicineIL
Emergency MedicineIL
-IL
Emergency MedicineIL
Emergency MedicineIL
-IL
Emergency MedicineOH
Emergency MedicineIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What unique ID ties claims to JON NILES JESSEN (M.D.)?
NPI 1912970823 is assigned to JON NILES JESSEN (M.D.) under the national enumeration system.
Is JON NILES JESSEN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JON NILES JESSEN (M.D.) treat or focus on?
Patients typically see JON NILES JESSEN (M.D.) under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JON NILES JESSEN (M.D.)'s primary listing?
We display Saint Louis, Missouri because that is what the record indicates for JON NILES JESSEN (M.D.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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