Jordyn Lewandowski, APRN - Medicare Nurse Practitioner in Peoria, IL

Jordyn Lewandowski, APRN is a medicare enrolled "Nurse Practitioner - Family" in Peoria, Illinois. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Soderstrom Dermatology Center S C. and her current practice location is 4909 N Glen Park Place Rd, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 674-7546.

Jordyn Lewandowski is licensed to practice in Illinois (license number 209.023539) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144892175.

Contact Information

Jordyn Lewandowski, APRN
4909 N Glen Park Place Rd,
Peoria, IL 61614-4689
(309) 674-7546
(309) 691-9286

Map and Direction




Provider's Profile

Full NameJordyn Lewandowski
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location4909 N Glen Park Place Rd, Peoria, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordyn Lewandowski graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1144892175
  • Provider Enumeration Date: 07/09/2021
  • Last Update Date: 08/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8527463173
  • Enrollment ID: I20210820000653

Medical Identifiers

Medical identifiers for Jordyn Lewandowski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144892175NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.023539 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Soderstrom Dermatology Center S C.206243265128

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jordyn Lewandowski allows following entities to bill medicare on her behalf.
Entity NameSoderstrom Dermatology Center S C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710931670
PECOS PAC ID: 2062432651
Enrollment ID: O20051128000693

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordyn Lewandowski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordyn Lewandowski, APRN
4909 N Glen Park Place Rd,
Peoria, IL 61614-4689

Ph: (309) 674-7546
Jordyn Lewandowski, APRN
4909 N Glen Park Place Rd,
Peoria, IL 61614-4689

Ph: (309) 674-7546

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.