Individual provider Active NPI

Jalynn Gunn

  • Physician Assistant
  • Marion, IL
National Provider Identifier
1215775598
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
85010779 Issued in IL
Practice address
1200 W Deyoung St
Marion, IL 62959-4437
Phone
(618) 993-5686
NPI assigned
Jul 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2024045398 MO
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 85010779 IL Primary

Addresses

Primary practice location

1200 W Deyoung St
Marion, IL 62959-4437

Mailing address

5301 Country Club Rd Apt a
Murphysboro, IL 62966-5647
Phone (618) 993-5686

Other practice location 1

2900 Broadway St Ste A
Mount Vernon, IL 62864-2341
Phone (618) 244-4777

Other practice location 2

1001 N Beadle Dr
Carbondale, IL 62901-1150
Phone (618) 549-2282

Other practice location 3

297 S Silver Springs Rd
Cape Girardeau, MO 63703-6309
Phone (457) 395-1520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241231000727 IL Practitioner - Physician Assistant 2769919885 Reassigns benefits to 1 organization
I20251020000825 MO Practitioner - Physician Assistant 2769919885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Southern Illinois University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion Eye Centers LTDGroup PAC ID 3072426774, 38 clinicians

Practice addresses (Care Compare)

1200 W Deyoung St
Marion, IL 62959-4437
Phone (618) 993-5686

1204 US 45
Eldorado, IL 62930-1212
Phone (618) 273-6220

165 Plaza Dr
Anna, IL 62906-2042
Phone (618) 833-8359

203 Van Zant St
Chester, IL 62233-1020
Phone (618) 826-5413

2900 Broadway St
A
Mount Vernon, IL 62864-2341
Phone (618) 244-2777

297 S Silver Springs Rd
Cape Girardeau, MO 63703-6309
Phone (573) 651-5200

5 Eyecenter Dr
Harrisburg, IL 62946-3334
Phone (601) 252-5377

600 N Keller Dr a
Effingham, IL 62401-1814
Phone (217) 342-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
85010779ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Eye Centers LTD. CurrentSince Oct 1, 2024 Accepting new patients
Marion Eye Centers LTD. Single Specialty CurrentSince Oct 1, 2024 Accepting new patients

Locations

1001 N Beadle Dr
Carbondale, IL 62901
Phone (618) 457-2123

1200 W Deyoung St
Marion, IL 62959
Phone 61899356861290

2900 Broadway St
#A
Mount Vernon, IL 62864
Phone (618) 244-2777

297 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 651-5200

1207 N One Mile Rd
Dexter, MO 63841
Phone (573) 624-4584

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1215775598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 COUNTRY CLUB RD APT A",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629665647",
            "telephone_number": "618-993-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594437",
            "telephone_number": "618-993-5686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Broadway St Ste A",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628642341",
            "country_code": "US",
            "telephone_number": "618-244-4777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 N Beadle Dr",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011150",
            "country_code": "US",
            "telephone_number": "618-549-2282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "297 S Silver Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637036309",
            "country_code": "US",
            "telephone_number": "457-395-1520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNN",
        "first_name": "JALYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2024045398",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "85010779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.