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

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

Practice location Address checks out

1405 E 12th St Ste 600
Mendota, IL 61342-9010
Phone: (815) 538-7200
Fax: (815) 539-1444
Show map & directions

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
Mailing address1405 E 12th St, Suite 600, Mendota, IL 61342-9010

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

Other providers in Mendota