Jennifer Ghekiere-Dacus, MSN, APRN, AGACNP-BC
Nurse Practitioner in Galesburg, IL. Individual provider (NPI-1).
NPI number1861268005
StatusActive
Last updated in NPPESNov 29, 2023
Details
- NPI
- 1861268005
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Ghekiere-Dacus
- Credential
- MSN, APRN, AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2023
- Certification date
- Oct 24, 2023
- Last updated
- Nov 29, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209.028930 | IL | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 209.028930 | IL | |
| 363LA2200X | Nurse Practitioner, Adult Health | 209.028930 | IL | |
| 363LG0600X | Nurse Practitioner, Gerontology | 209.028930 | IL |
Practice location
3375 N Seminary StGalesburg, IL 61401-1251
Phone 309-344-1000
Mailing address
524 Goodsill DrEast Galesburg, IL 61430-9731
Phone 406-945-4886
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 21 Nurse Practitioner providers in Galesburg · All 738 providers in Galesburg
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