Active NPI
Jade Bollinger, APRN
- Nurse Practitioner
- Decatur, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209034220
- Practice address
- 176 W Mound Rd
Decatur, IL 62526-1964 - Phone
- (217) 875-0163
- Fax
- (217) 875-9007
- NPI assigned
- Dec 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041499465 | IL | |
| Nurse Practitioner | 363L00000X | 209034220 | IL | Primary |
Addresses
Primary practice location
176 W Mound Rd
Decatur, IL 62526-1964
Mailing address
176 W Mound Rd
Decatur, IL 62526-1964
Phone (217) 875-0163
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbollinger502418@ewd.direct.hshs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
176 W Mound Rd
Decatur, IL 62526-1964
Phone (217) 391-8730
Hospital & facility affiliations
- St Marys Hospital
- St Johns Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041499465 | IL | MD | Registered Nurse |
| 209034220 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Medical Group Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Past | Accepting new patients |
Locations
176 W Mound Rd
Decatur, IL 62526
Phone (217) 391-8730
1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889
1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100
3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
-
- Internal Medicine Physician
- Springfield, IL
- NPI 1912330317
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1033072582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 W MOUND RD",
"city": "DECATUR",
"state": "IL",
"postal_code": "625261964",
"telephone_number": "217-875-0163",
"fax_number": "217-875-9007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 W MOUND RD",
"city": "DECATUR",
"state": "IL",
"postal_code": "625261964",
"telephone_number": "217-875-0163",
"fax_number": "217-875-9007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLINGER",
"first_name": "JADE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-03",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041499465",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209034220",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbollinger502418@ewd.direct.hshs.org",
"affiliation": "N",
"address_1": "176 W Mound Rd",
"city": "Decatur",
"state": "IL",
"country_code": "US",
"postal_code": "625261964",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.