Jennifer Loethen, M.D.
NPI 1205039955 · Pediatrics Physician · Maryville, IL
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Loethen, M.D. is a Pediatrics Physician provider in Maryville, IL (NPI 1205039955).
Provider details
- NPI number
- 1205039955
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036121965 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-08
- Last updated
- 2010-06-22
Frequently asked questions
- What is Jennifer Loethen's NPI number?
- Jennifer Loethen's National Provider Identifier (NPI) is 1205039955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Loethen's specialty?
- Jennifer Loethen is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jennifer Loethen located?
- Jennifer Loethen's practice location on file with NPPES is 5 Professional Park Dr, Maryville, IL 62062-5621.
- What is Jennifer Loethen's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Loethen is (618) 876-2924.
- Does Jennifer Loethen accept Medicare?
- Jennifer Loethen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Loethen's NPI active?
- Yes — Jennifer Loethen's NPI (1205039955) is active in the NPPES registry as of the last update on 2010-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.