Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenifer Marie Chambless, PA-C

Individual provider Medical Physician Assistant · NPI 1962549790

Jenifer Marie Chambless, PA-C is a Physician Assistant in Carbondale, Illinois. Graduated from University of Nebraska College of Medicine in 2002, 24 years ago. Practices with Board of Trustees of Southern Illinois University, a 142-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
24
Trained at
University of Nebraska College of Medicine
Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

300 W Oak St
Carbondale, IL 62901-1400
Phone: (618) 536-6621
Fax: (618) 453-1102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 300 W Oak St Ste 100, Carbondale, IL 62901-1496 — (618) 536-6621
  • 305 W Jackson St, Carbondale, IL 62901-1474 — (618) 453-3777
  • 2553 Ken Gray Blvd, West Frankfort, IL 62896-4174 — (618) 932-3937

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085001864 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085-001864 (IL)

Record details

NPI number1962549790
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Board Of Trustees Of Southern Illinois University — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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