Individual provider Active NPI

Jason D Sweazy, MS, BSN, BA, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1497188106
Registry record updated Oct 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277002535 Issued in IL
Practice address
555 S Perryville Rd Ste 130
Rockford, IL 61108-2527
Phone
(815) 404-3452
NPI assigned
Aug 16, 2013
Last updated
Oct 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277002535 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 36768.1471 WY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402523 NY
Registered Nurse 163W00000X 041.524448 IL
Registered Nurse 163W00000X 757959 NY

Addresses

Primary practice location

555 S Perryville Rd Ste 130
Rockford, IL 61108-2527

Mailing address

555 S Perryville Rd Ste 130
Rockford, IL 61108-2527
Phone (815) 404-3452

Other practice location 1

3838 N Ravenswood Ave Ste 100
Chicago, IL 60613-5651
Phone (872) 465-6783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NY, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160801002156 WY Practitioner - Nurse Practitioner 7113210972 Reassigns benefits to 1 organization
I20190307003280 NY Practitioner - Nurse Practitioner 7113210972 Reassigns benefits to 2 organizations
I20231127001241 IL Practitioner - Nurse Practitioner 7113210972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindplexity Psychiatric Services PLLCGroup PAC ID 9032596788, 7 clinicians

Practice addresses (Care Compare)

555 S Perryville Rd
Suite 130
Rockford, IL 61108-2527
Phone (815) 995-2201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Bachelor on Science - Nursing, Master of Science

State licenses

LicenseStateTypeSpecialty
041.524448ILMDRegistered Nurse
757959NYMDRegistered Nurse
277002535ILMDPsychiatric/Mental Health Nurse Practitioner
402523NYMDPsychiatric/Mental Health Nurse Practitioner
36768.1471WYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Behavioral Institute CurrentSince Jun 11, 2016 Accepting new patients
Edgewood Clinical Services, P.C. Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Family Services, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Mindplexity Psychiatric Services, PLLC Psychiatric/Mental Health CurrentSince Oct 15, 2023 Accepting new patients
Positive Pathways Psychiatry PLLC Psychiatric/Mental Health CurrentSince Jun 29, 2025 Accepting new patients
Family Services of Chemung County, Inc. Registered Nurse CurrentSince Jan 26, 2019 Accepting new patients
Psychology Specialists LTD Past Accepting new patients
Michele a Pavillard D.O. PastSince Nov 1, 2020 Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 310-4636

1457 N Halsted St
Unit B303
Chicago, IL 60642
Phone (312) 761-4725

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

3027 English Rows Ave
Ste 201
Naperville, IL 60564

555 S Perryville Rd
Ste 130
Rockford, IL 61108
Phone (815) 396-8617

1050 Country Club Rd
Unit 386
Woodstock, IL 60098

223 Main St
Beacon, NY 12508
Phone (845) 838-4900

1019 E Water St
Elmira, NY 14901
Phone (607) 733-5696

230 North Rd
Poughkeepsie, NY 12601
Phone (845) 452-0774

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

2521 E 15th St
Casper, WY 82609
Phone (307) 237-7444

4041 S Poplar St
Casper, WY 82601
Phone (307) 237-7444

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.jasonsweazy@146897.advancedmd-direct.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792886400000",
    "number": "1497188106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S PERRYVILLE RD STE 130",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082527",
            "telephone_number": "815-404-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S PERRYVILLE RD STE 130",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082527",
            "telephone_number": "815-404-3452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3838 N Ravenswood Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606135651",
            "country_code": "US",
            "telephone_number": "872-465-6783",
            "fax_number": "872-210-5248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEAZY",
        "first_name": "JASON",
        "middle_name": "D",
        "credential": "MS, BSN, BA, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2026-10-25",
        "certification_date": "2026-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277002535",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "36768.1471",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402523",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.524448",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "757959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.