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

Jason Dwight Bernard

Individual provider Nurse Practitioner · NPI 1215889407

Jason Dwight Bernard is a Nurse Practitioner in Mount Vernon, Illinois. Qualified in 2025, 1 year ago. Practices with Deaconess Illinois Clinic Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2026

Practice location Address checks out

4105 N Water Tower Pl
Mount Vernon, IL 62864-6296
Phone: (618) 244-9495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.035119 (IL)

Record details

NPI number1215889407
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 11, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address4105 N Water Tower Pl, Mount Vernon, IL 62864-6296

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Deaconess Illinois Clinic Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mount Vernon