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

Jessica N Baine, APRN

Individual provider Family Nurse Practitioner · NPI 1548815293

Jessica N Baine, APRN is a Nurse Practitioner in Carbondale, Illinois. Qualified in 2019, 7 years ago. Practices with Shawnee Health Service and Development Corp, a 51-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

404 S Lewis Ln
Carbondale, IL 62901
Phone: (618) 519-9200
Fax: (618) 549-1288
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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 029.019857 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041441276 (IL)

Record details

NPI number1548815293
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 8, 2019
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023

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 Shawnee Health Service And Development Corp — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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