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

Jaycie N Liebendorfer, APRN, CNP

Individual provider Nurse Practitioner · NPI 1124329206

Jaycie N Liebendorfer, APRN, CNP is a Nurse Practitioner in Bloomington, Illinois. Qualified in 2010, 16 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2010
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1701 E College Ave
Bloomington, IL 61704-2100
Phone: (309) 664-3130
Fax: (309) 664-3258
Show map & directions

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

Additional practice locations (1)

  • 1302 Franklin Ave, Normal, IL 61761-3551 — (309) 268-2727

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 209008461 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209008461 (IL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209008461 (IL)

Record details

NPI number1124329206
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , CNP
Sole proprietorNo
NPI enumeratedNovember 5, 2010
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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