Individual provider Active NPI

Jordan Priebe, NP

  • Family Nurse Practitioner
  • Columbia, IL
National Provider Identifier
1477088292
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209015908 Issued in IL
Practice address
1000 Eleven S
Suite 1a
Columbia, IL 62236-1077
Phone
(618) 281-8400
NPI assigned
Apr 30, 2017
Last updated
May 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209015908 IL Primary

Addresses

Primary 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

TypeEndpointUseAffiliation
Direct Messaging Address mmc@spartahospital.hin.us

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
I20170727003631 IL Practitioner - Nurse Practitioner 1456621192 Reassigns benefits to 4 organizations

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
Pinckneyville Community HospitalGroup PAC ID 8123921632, 26 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics CurrentSince Apr 1, 2022 Accepting new patients
Pinckneyville Community Hospital CurrentSince Sep 2, 2021 Accepting new patients
Granite City Hospitalist Services LLC CurrentSince Jul 1, 2020 Accepting new patients
Pinckneyville Community Hospital CurrentSince Sep 2, 2021 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

  • Direct secure messaging: jpriebe@direct.pvillehosp.org
  • Direct secure messaging: jpriebe@yourcarecommunity.org
  • Direct secure messaging: mmc@spartahospital.hin.us

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "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

Verify at the official NPI Registry.