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

Jaelyn Lois Anderson, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1659909372

Jaelyn Lois Anderson, FNP-BC is a Nurse Practitioner in Kankakee, Illinois. Qualified in 2019, 7 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
7
Licensed in
IL, IN
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

70 Meadowview Ctr Ste 200
Kankakee, IL 60901-2063
Phone: (815) 802-0000
Fax: (815) 935-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209021128 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 71010380A (IN)

Record details

NPI number1659909372
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMarch 29, 2020
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 5, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prime Healthcare Illinois Medical Group Llc — 281 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kankakee