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

Jordyn Lewandowski, APRN

Individual provider Family Nurse Practitioner · NPI 1144892175

Jordyn Lewandowski, APRN is a Nurse Practitioner in Peoria, Illinois. Qualified in 2021, 5 years ago. Practices with Soderstrom Dermatology Center S C, a 33-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
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

4909 N Glen Park Place Rd
Peoria, IL 61614-4689
Phone: (309) 674-7546
Fax: (309) 691-9286
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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 209.023539 (IL)

Record details

NPI number1144892175
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJuly 9, 2021
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address4909 N Glen Park Place Rd, Peoria, IL 61614-4689

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Soderstrom Dermatology Center S C — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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