JAELYN LOIS ANDERSON (FNP-BC) – Family Nurse Practitioner, NPI 1659909372
Family Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for JAELYN LOIS ANDERSON (FNP-BC)
4590 S 6000E RD
SAINT ANNE, IL 609644144
Phone: (815) 214-0722
Type: Mailing
3313 E 83RD PL
MERRILLVILLE, IN 464106544
Phone: (219) 769-8648
Type: Location
200 E FAIRMAN AVE
WATSEKA, IL 609701644
Phone: (815) 214-0722
Type: Mailing
PO BOX 95
BOURBONNAIS, IL 609140095
Phone: (815) 802-0000
Fax: (815) 935-1000
Type: Mailing
70 MEADOWVIEW CTR STE 200
KANKAKEE, IL 609012063
Phone: (815) 802-0000
Fax: (815) 935-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $1,097.
Total Amount is formed as General ($1,097) + Research ($0) + Ownership ($0) = $1,097.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($453).
Total Amount
$1,097
General + Research + Ownership
Payments
52
Total payment records
General Amount
$1,097
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $453 |
| Novo Nordisk Inc | $162 |
| Novartis Pharmaceuticals Corporation | $85 |
| ABBVIE INC. | $77 |
| Exact Sciences Corporation | $44 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-09-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220920003694 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60964)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Internal Medicine, Gastroenterology | IN | |
| Internal Medicine | IL | |
| Family Practice | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IL | |
| Internal Medicine | IL | |
| Family Practice | IL | |
| Internal Medicine, Emergency Medicine | MI | |
| Family Practice, Emergency Medicine | IL |
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