Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033731500 Individual Practitioner Female Practitioner

Dr. Jessica N Mistretta , DO

Pediatrics • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jessica Mistretta, DO is a certified Pediatrics practicing in Springfield, IL. With approximately 6 years of clinical experience since graduating from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2020, Dr. Mistretta delivers high-quality medical care to the local community at 400 N 9TH ST.

Dr. Mistretta is affiliated with Michael D. Tarantino, M.D. S.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 N 9th St

Springfield, IL 627025310

Telephone 2175458000
Fax 2175452303
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Kansas City University Of Med & Biosciences, College Of Osteo Med

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Springfield, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -10.1 yrs vs City Avg
City Avg: 16.1 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
109 Specialists

Practicing in Springfield, IL (3277 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mistretta (6 Years) 6 Yrs
Springfield Specialty Average (16.1 Years) 16.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
83 26 $286.64 $114.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
26 26 $454.33 $167.51

Medical Specialties & State Licenses

CMS Verified: 2026-07-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036163468

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License IL 125.076260

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Hospital & Practice Group Affiliations

Michael D. Tarantino, M.d. S.c.

427 W Northmoor Rd, Peoria, IL 616143542

Phone: 3096925337

Secondary Practice Locations

8600 State Route 91 Ste 200

Peoria, IL 616157833

Phone: 3096921030

530 Ne Glen Oak Ave

Peoria, IL 616372214

Phone: 3096552000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location July 27, 2026

Registered at 400 N 9TH ST, SPRINGFIELD, IL 627025310 (Tel: 2175458000)

📍
Updated Business Mailing Address July 27, 2026

Registered at PO BOX 19639, SPRINGFIELD, IL 627949639 (Tel: 2175458000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2026

Pediatrics (License #125.076260 in IL)

📍
Updated Practice Location July 01, 2025

Registered at 8600 STATE ROUTE 91 STE 200, PEORIA, IL 616157833 (Tel: 3096921030)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2025

Pediatrics (License #036163468 in IL)

📍
Updated Practice Location July 28, 2022

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616372214 (Tel: 3096552000)

📍
Updated Business Mailing Address July 28, 2022

Registered at 123 EDGAR ST, LINCOLN, IL 626561514 (Tel: 5738083508)

👤
Provider Name / Credentials Updated July 28, 2022

Recorded as JESSICA MISTRETTA, DO

NPI Profile Active May 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2020

Registered at 981 HIGHWAY K, RHINELAND, MO 650692214 (Tel: 5738083508)

📍
Updated Business Mailing Address May 07, 2020

Registered at 981 HIGHWAY K, RHINELAND, MO 650692214 (Tel: 5738083508)

👤
Provider Name / Credentials Updated May 07, 2020

Recorded as JESSICA ZEISS, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2020

Pediatrics (License #125.076260 in IL)

🟢
Initial NPI Registration & Enumeration May 07, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jessica Mistretta. Be the first to share your experience!

Sign in to leave a review for Dr. Jessica Mistretta

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1033731500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2020
Last Update: July 27, 2026
Sole Proprietor: Yes

Mailing Address

Po Box 19639

Springfield, IL 627949639

Phone: 2175458000

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.