Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124582523 Individual Practitioner Female Practitioner

Jenna Dornak

Physician Assistant • Belleville, IL

Professional Overview & Biography Verified Profile Summary

Jenna Dornak is a registered healthcare professional specializing in Physician Assistant in Belleville, IL. Practice services are available at 4500 MEMORIAL DR under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4500 Memorial Dr

Belleville, IL 622265360

Telephone 6182337750
Associated Practice Facility / Clinic
🏢 Premier Internal Medicine Llc Facility NPI 1689651184

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Belleville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
42 Specialists

Practicing in Belleville, IL (4958 Statewide)

Telehealth Adoption Rate
9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
173 173 $1728.68 $142.02
99284 Emergency department visit with moderate level of medical decision making
123 123 $1151.62 $98.25
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
75 65 $86.00 $6.59
99283 Emergency department visit with low level of medical decision making
29 29 $724.82 $57.72
99291 Critical care, first 30-74 minutes
28 28 $2019.00 $172.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
27 27 $194.00 $66.88
99213 Established patient office or other outpatient visit, typically 15 minutes
12 12 $160.46 $53.71

Medical Specialties & State Licenses

CMS Verified: 2021-12-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Dr. Neil Mcclymont , DO

Emergency Medicine

NPI 1033248208

Doctor of Osteopathic Medicine (D.O.)

NPI 1053616763

Doctor of Medicine (M.D.)

Dr. Daniel Kim , MD

Emergency Medicine

NPI 1053801696

Doctor of Medicine (M.D.)

NPI 1275052318

Doctor of Medicine (M.D.)

Heather Sanders , PA

Physician Assistant

NPI 1285060061

Physician Assistant

Ashley Lawrence , CRNA

Nurse Anesthetist, Certified Registered

NPI 1336509587

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address December 29, 2021

Registered at 5800 HIGHLANDS PLAZA DR APT 133, SAINT LOUIS, MO 631101358

NPI Profile Active January 30, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2019

Registered at 4500 MEMORIAL DR, BELLEVILLE, IL 622265360 (Tel: 6182337750)

📍
Updated Business Mailing Address January 30, 2019

Registered at 5800 HIGHLANDS PLAZA DR APT 310, SAINT LOUIS, MO 631101360

👤
Provider Name / Credentials Updated January 30, 2019

Recorded as JENNA DORNAK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 30, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124582523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2019
Last Update: December 29, 2021
Sole Proprietor: Yes

Mailing Address

5800 Highlands Plaza Dr Apt 133

Saint Louis, MO 631101358

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.