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

Jaycie N Liebendorfer, APRN, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Clinton, Illinois. She graduated from nursing school in 2010 and has 16 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 207 W Van Buren St, Clinton, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 323-0206.

Jaycie N Liebendorfer is licensed to practice in Illinois (license number 277.005669) 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
207 W Van Buren St,
Clinton, IL 61727-2235
(309) 323-0206
Not Available

Map and Direction




Provider's Profile

Full NameJaycie N Liebendorfer
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location207 W Van Buren St, Clinton, 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:
  • Jaycie N Liebendorfer graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1124329206
  • Provider Enumeration Date: 11/05/2010
  • Last Update Date: 10/30/2026
  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.
IdentifierTypeStateIssuer
1124329206NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209008461 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 277.005669 (Illinois)Primary
363LP2300XNurse Practitioner - Primary Care 209008461 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 209008461 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph Medical CenterBloomington, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897892123

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 NameOSF Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Jaycie N Liebendorfer, APRN, CNP
207 W Van Buren St,
Clinton, IL 61727-2235

Ph: (309) 323-0206
Jaycie N Liebendorfer, APRN, CNP
207 W Van Buren St,
Clinton, IL 61727-2235

Ph: (309) 323-0206

Reviews and Comments


Nurse Practitioner Nurses in Clinton, IL

Becky Largent, LCSW, APRN, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 207 W Van Buren St, Clinton, IL 61727
Phone: 309-323-0206    Fax: 309-326-4557
Morgan Andrea Massey, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 S Center St Ste 201, Clinton, IL 61727
Phone: 309-682-0374    Fax: 309-250-1124
Cynthia Diane Saylors, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 64 Somerset Dr, Clinton, IL 61727
Phone: 309-275-3534    
Timothy Stead,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1231 Kleemann Dr, Clinton, IL 61727
Phone: 217-935-5022    Fax: 217-935-9592
Mrs. Danna Elizabeth Powers, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 422 W White St, Clinton, IL 61727
Phone: 217-937-5285    Fax: 217-937-5296
Angela Cunningham, APN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 422 W White St, Clinton, IL 61727
Phone: 217-937-5284    Fax: 217-937-5280
Cheryl A Carmack,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1231 Kleemann Dr, Clinton, IL 61727
Phone: 217-935-5022    Fax: 217-935-9592

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.