Jesse Henneberg, APN
NPI 1316299456 · Neonatal Nurse Practitioner · Peoria, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jesse Henneberg, APN is a Neonatal Nurse Practitioner provider in Peoria, IL (NPI 1316299456).
Provider details
- NPI number
- 1316299456
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 209009916 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 415 N 9th St Ste 4w16Springfield, IL 62702-5303Phone: (217) 545-8000
Registry dates
- Enumerated
- 2012-10-14
- Last updated
- 2021-07-19
- Certified
- 2021-07-19
Frequently asked questions
- What is Jesse Henneberg's NPI number?
- Jesse Henneberg's National Provider Identifier (NPI) is 1316299456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jesse Henneberg's specialty?
- Jesse Henneberg is listed in the NPPES registry with a primary specialty of Neonatal Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jesse Henneberg located?
- Jesse Henneberg's practice location on file with NPPES is 530 Ne Glen Oak Ave, Peoria, IL 61637-0001.
- What is Jesse Henneberg's phone number?
- The practice phone number listed in the NPPES registry for Jesse Henneberg is (309) 624-0629.
- Does Jesse Henneberg accept Medicare?
- Jesse Henneberg is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jesse Henneberg's NPI active?
- Yes — Jesse Henneberg's NPI (1316299456) is active in the NPPES registry as of the last update on 2021-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.