Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jonathan Edwards

Individual provider Family Nurse Practitioner · NPI 1164820312

Jonathan Edwards is a Nurse Practitioner in Mendota, Illinois. Qualified in 2014, 12 years ago. Practices with UT Urgent Care Centers, LLC, a 24-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014
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Practice location Address checks out

1405 E 12th St Ste 600
Mendota, IL 61342-9010 Not confirmed with CMS for 11 years — call before visiting
Phone: (815) 538-7200
Fax: (815) 539-1444
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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 209012330 (IL)

Record details

NPI number1164820312
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 19, 2014
Last updated in NPPESDecember 19, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ut Urgent Care Centers, Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients249
Services billed 390 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at UT Urgent Care Centers, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 24 clinicians in the practice; 12 are shown here.

Other providers in Mendota