Jonathan Edwards, - Medicare Nurse Practitioner in Mendota, IL

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Jonathan Edwards, is a medicare enrolled "Nurse Practitioner - Family" in Mendota, Illinois. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ut Urgent Care Centers, Llc and his current practice location is 1405 E 12th St, Suite 600, Mendota, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 538-7200.

Jonathan Edwards is licensed to practice in Illinois (license number 209012330) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164820312.

Contact Information

Jonathan Edwards,
1405 E 12th St, Suite 600,
Mendota, IL 61342-9010
(815) 538-7200
(815) 539-1444

Map and Direction




Provider's Profile

Full NameJonathan Edwards
GenderMale
SpecialityNurse Practitioner
Experience12 Years
Location1405 E 12th St, Mendota, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jonathan Edwards graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1164820312
  • Provider Enumeration Date: 12/19/2014
  • Last Update Date: 12/19/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1951620673
  • Enrollment ID: I20250106002640

Medical Identifiers

Medical identifiers for Jonathan Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164820312NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209012330 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ut Urgent Care Centers, Llc559701506519

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. Jonathan Edwards allows following entities to bill medicare on his behalf.
Entity NameUt Urgent Care Centers, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801391453
PECOS PAC ID: 5597015065
Enrollment ID: O20180904001336

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. Jonathan Edwards 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
Jonathan Edwards,
1405 E 12th St, Suite 600,
Mendota, IL 61342-9010

Ph: (815) 538-7200		Jonathan Edwards,
1405 E 12th St, Suite 600,
Mendota, IL 61342-9010

Ph: (815) 538-7200

Reviews and Comments


Nurse Practitioner Nurses in Mendota, IL

Dr. Kelly Ann Tonielli Davis, DNP APRN FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1201 Meriden St, Mendota, IL 61342
Phone: 815-538-1800    Fax: 815-538-4881
Joy Preciado,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1405 E 12th St, Ste 300, Mendota, IL 61342
Phone: 815-539-3141    
Sharon Jones Burtlow, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1201 Meriden St, Mendota, IL 61342
Phone: 815-539-3739    Fax: 815-539-3753
Stacy A Piller, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1405 E 12th St, Ste 600, Mendota, IL 61342
Phone: 815-538-7200    Fax: 815-539-1444
Susan J Olsen, APRN FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 537 N 3850th Rd, Mendota, IL 61342
Phone: 815-993-7378    
Tracie R Kelly, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1401 E 12th St, Mendota, IL 61342
Phone: 815-539-7461    

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.