JESSICA GAMBLIN APN NPI 1356792956

NPI Information

  • NPI: 1356792956
  • Provider Name: JESSICA GAMBLIN, APN
  • Classification: Clinical Nurse Specialist - 364S00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8940 N WOOD SAGE RD
    PEORIA, IL
    ZIP 61615
  • Phone: (309) 243-3000

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NPI Details

Jessica Gamblin, APN is a clinical nurse specialist in Peoria, IL with 12 years of experience. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Jessica Gamblin, APN NPI is 1356792956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8940 N WOOD SAGE RD
PEORIA, IL
ZIP 61615-822
Phone: (309) 243-3000
Fax: (309) 243-3274

The NPI 1356792956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units (HCPCS:Q5106)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, palonosetron hcl, 25 mcg (HCPCS:J2469)
  • Injection, magnesium sulfate, per 500 mg (HCPCS:J3475)
  • Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less (HCPCS:96367)
  • Administration of chemotherapy into vein, 1 hour or less (HCPCS:96413)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection of additional new drug or substance into vein (HCPCS:96375)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion (HCPCS:96368)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Injection, diphenhydramine hcl, up to 50 mg (HCPCS:J1200)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Administration of additional new drug or substance into vein, 1 hour or less (HCPCS:96417)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection of drug or substance into vein (HCPCS:96374)

The enumeration date for this NPI number is 6/24/2016 and was last updated on 10/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SA2200XClinical Nurse SpecialistAdult Health209.014027ILLINOISNo
2364S00000XClinical Nurse Specialist209014027ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209.014027OTHERILLINOISLICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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