Jaycie N Liebendorfer, APRN, CNP in Bloomington, IL

Jaycie N Liebendorfer, APRN, CNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Bloomington, Illinois. She graduated from nursing school in 2010 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osf Multi-specialty Group and her current practice location is 1701 E College Ave, Bloomington, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 664-3130.

Jaycie N Liebendorfer is licensed to practice in Illinois (license number 209008461) 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 1124329206.

Contact Information

	Jaycie N Liebendorfer, APRN, CNP
	1701 E College Ave, Bloomington, IL 61704-2100
	(309) 664-3130
	(309) 664-3258

Map and Direction

Provider's Profile

Full Name	Jaycie N Liebendorfer
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	1701 E College Ave, Bloomington, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaycie N Liebendorfer graduated from nursing school in 2010

NPI Data:

NPI Number: 1124329206
Provider Enumeration Date: 11/05/2010
Last Update Date: 02/25/2025

Medicare PECOS Information:

PECOS PAC ID: 5890976294
Enrollment ID: I20110217000678

Medical Identifiers

Medical identifiers for Jaycie N Liebendorfer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124329206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209008461 (Illinois)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209008461 (Illinois)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	209008461 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Medical Center	Bloomington, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Osf Multi-specialty Group	3678889789	1848

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. Jaycie N Liebendorfer allows following entities to bill medicare on her behalf.

Entity Name	In Home Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497087175 PECOS PAC ID: 3779612395 Enrollment ID: O20100520000116

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Jaycie N Liebendorfer 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 Address	Practice Location Address
Jaycie N Liebendorfer, APRN, CNP 1701 E College Ave, Bloomington, IL 61704-2101 Ph: (309) 664-3130	Jaycie N Liebendorfer, APRN, CNP 1701 E College Ave, Bloomington, IL 61704-2100 Ph: (309) 664-3130

Reviews and Comments

Nurse Practitioner Nurses in Bloomington, IL

Theresa Kauth, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808
Cheryl Hansen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-454-4411
Carey Harris, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3000 Fax: 309-664-3026
Elizabeth Jeanne Igoe, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St Ste A, Bloomington, IL 61704 Phone: 309-556-7800 Fax: 309-556-7804
Ms. Linda Kay Wall, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 W Washington St, 3rd Floor, Bloomington, IL 61701 Phone: 309-827-4014 Fax: 309-828-6626
Amy O'brien, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-3360 Fax: 309-661-3390
Mrs. Sonal Mukesh Patel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3800

Jaycie N Liebendorfer, APRN, CNP - Medicare Nurse Practitioner in Bloomington, IL