Individual provider Active NPI

Jamie Therse Brewer, APRN-CS

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1386110708
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
377002908 Issued in IL
Practice address
1401 E State St FL 4
Rockford, IL 61104-2315
Phone
(779) 696-4123
NPI assigned
Oct 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 309013502 IL
Psychiatry Physician 2084P0800X 209018120 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 377002908 IL Primary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 309.013502 IL

Addresses

Primary practice location

1401 E State St FL 4
Rockford, IL 61104-2315

Mailing address

2560 24TH St Ste 101
Rock Island, IL 61201-5389
Phone (309) 779-3970

Other practice location 1

2560 24th St Ste 101
Rock Island, IL 61201-5389
Phone (309) 779-3970

Other practice location 2

408 W Main St
Ottawa, IL 61350-2802
Phone (815) 326-9502

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbrewer1088371@direct.uwhealth.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821002533 IL Practitioner - Nurse Practitioner 1759619323 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309.013502ILMDBehavioral Neurology & Neuropsychiatry Physician
209018120ILMDPsychiatry Physician
309013502ILMDPsychiatry Physician
377002908ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Robert Young Center for Community Mental Health Psychiatry CurrentSince Nov 3, 2025 Accepting new patients
The Robert Young Center for Community Mental Health Current Accepting new patients
The Robert Young Center for Community Mental Health CurrentSince Nov 3, 2025 Accepting new patients
Swedishamerican Hospital CurrentSince Mar 1, 2020 Accepting new patients
Swedishamerican Hospital Current Accepting new patients
Swedishamerican Hospital CurrentSince Mar 1, 2020 Accepting new patients
Sinnissippi Centers, Inc. Past Accepting new patients
Empowering Minds Counseling, PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

2560 24th St
Ste 101
Rock Island, IL 61201
Phone (309) 779-3970

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

1401 E State St
Fl 4
Rockford, IL 61104
Phone (779) 696-4123

Interoperability endpoints

  • Direct secure messaging: jbrewer1088371@direct.uwhealth.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedishamerican Hospital 386 clinicians
The Robert Young Center for Community Mental Health 54 clinicians

Practice addresses (Care Compare)

1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400

2560 24TH St
Suite 101
Rock Island, IL 61201-5389
Phone (309) 779-3970

6824 Newburg Rd
Sa Valley
Rockford, IL 61108-4330
Phone (779) 696-7610

Hospital & facility affiliations

  • Uw Health Hospital, Rockford, IL, CCN 140228

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as group
Quality
83.2
Promoting interoperability
77
Improvement activities
40
Cost
71.7

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1386110708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 24TH ST STE 101",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015389",
            "telephone_number": "309-779-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E STATE ST FL 4",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042315",
            "telephone_number": "779-696-4123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2560 24th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Rock Island",
            "state": "IL",
            "postal_code": "612015389",
            "country_code": "US",
            "telephone_number": "309-779-3970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 W Main St",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "IL",
            "postal_code": "613502802",
            "country_code": "US",
            "telephone_number": "815-326-9502",
            "fax_number": "815-324-5102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWER",
        "first_name": "JAMIE",
        "middle_name": "THERSE",
        "credential": "APRN-CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "309013502",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "209018120",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "377002908",
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "IL",
            "license": "309.013502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbrewer1088371@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1401 E State St Fl 4",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611042315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.