Active NPI
Jordan Priebe, NP
- Family Nurse Practitioner
- Columbia, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209015908
- Practice address
- 1000 Eleven S
Suite 1a
Columbia, IL 62236-1077 - Phone
- (618) 281-8400
- NPI assigned
- Apr 30, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
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
- Sparta, IL
- NPI 1114984226
IL
-
- Rural Health Clinic/Center
- Pinckneyville, IL
- NPI 1306818844
-
- Rural Health Clinic/Center
- Steeleville, IL
- NPI 1669588000
-
- Rural Health Clinic/Center
- Marissa, IL
- NPI 1922114800
-
- Critical Access Hospital
- Pinckneyville, IL
- NPI 1629039706
-
- Rural Health Clinic/Center
- Coulterville, IL
- NPI 1083721567
-
- Rural Health Clinic/Center
- Sparta, IL
- NPI 1740395003
-
- Rural Health Clinic/Center
- Sparta, IL
- NPI 1740395045
-
- Rural Health Clinic/Center
- Sparta, IL
- NPI 1750497194
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sparta, IL
- NPI 1639187149
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sparta Community Hospital D/B/a Quality Healthcare ClinicsPinckneyville Community Hospital
Practice addresses (Care Compare)
521 N Borders Ave
Suite C
Marissa, IL 62257-1195
Phone (618) 295-1591
5383 State Route 154
Pinckneyville, IL 62274-3342
Phone 61835721875902
Hospital & facility affiliations
- At Home Health Care
- Sparta Community Hospital
- HSHS St Elizabeth'S Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170727003631 | IL | Practitioner - Nurse Practitioner | 1456621192 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparta Community Hospital D/B/a Quality Healthcare Clinics | Current | Accepting new patients | |
| Pinckneyville Community Hospital | Current | Accepting new patients | |
| Granite City Hospitalist Services LLC | Current | Accepting new patients | |
| Pinckneyville Community Hospital | Current | Accepting new patients | |
| Sparta Community Hospital D/B/a Quality Healthcare Clinics | Past | Accepting new patients | |
| Sparta Community Hospital D/B/a Quality Healthcare Clinics | Past | Accepting new patients |
Locations
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
521 N Borders Ave
Ste C
Marissa, IL 62257
Phone (618) 295-1591
5383 State Route 154
Pinckneyville, IL 62274
Phone (618) 357-2131
207 S Burns Ave
Sparta, IL 62286
Phone (618) 443-3084
818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177
9 Westwood Dr
Steeleville, IL 62288
Phone (618) 965-3466
Interoperability endpoints
- jpriebe@direct.pvillehosp.org
- mmc@spartahospital.hin.us
- jpriebe@yourcarecommunity.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209015908 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1000 Eleven S
Suite 1a
Columbia, IL 62236-1077
Mailing address
521 N Borders Ave Ste C
Marissa, IL 62257-1195
Phone (618) 295-1591
Other practice location 1
521 N Borders Ave Ste C
Marissa, IL 62257-1195
Phone (618) 295-1591
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmc@spartahospital.hin.us |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2026.
{
"created_epoch": "1493510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1477088292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 N BORDERS AVE STE C",
"city": "MARISSA",
"state": "IL",
"postal_code": "622571195",
"telephone_number": "618-295-1591",
"fax_number": "618-295-1473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ELEVEN S",
"address_2": "SUITE 1A",
"city": "COLUMBIA",
"state": "IL",
"postal_code": "622361077",
"telephone_number": "618-281-8400"
}
],
"practiceLocations": [
{
"address_1": "521 N Borders Ave Ste C",
"address_purpose": "LOCATION",
"city": "Marissa",
"state": "IL",
"postal_code": "622571195",
"country_code": "US",
"telephone_number": "618-295-1591",
"fax_number": "618-295-1473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRIEBE",
"first_name": "JORDAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-30",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209015908",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmc@spartahospital.hin.us",
"affiliation": "N",
"address_1": "521 N Borders Ave Ste C",
"city": "Marissa",
"state": "IL",
"country_code": "US",
"postal_code": "622571195",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.