Active NPI
Jason D Sweazy, MS, BSN, BA, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 277002535
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041.524448 | IL | MD | Registered Nurse |
| 757959 | NY | MD | Registered Nurse |
| 277002535 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 402523 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 36768.1471 | WY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyoming Behavioral Institute | Current | Accepting new patients | |
| Edgewood Clinical Services, P.C. | Psychiatric/Mental Health | Current | Accepting new patients |
| Family Services, Inc. | Current | Accepting new patients | |
| Mindplexity Psychiatric Services, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Positive Pathways Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Family Services of Chemung County, Inc. | Registered Nurse | Current | Accepting new patients |
| Psychology Specialists LTD | Past | Accepting new patients | |
| Michele a Pavillard D.O. | Past | 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
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Rockford, IL
- NPI 1437808433
-
dba LifeStance
- Psychologist
- Naperville, IL
- NPI 1295914646
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Poughkeepsie, NY
- NPI 1316939457
-
- Psychiatric Hospital
- Casper, WY
- NPI 1295709822
-
- Psychiatric/Mental Health Nurse Practitioner
- Joliet, IL
- NPI 1447148960
-
dba LifeStance Health
- Clinical Psychologist
- Bloomington, IL
- NPI 1053368605
-
- Psychiatry Physician
- Corning, NY
- NPI 1134130487
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
- Lisa Marie Swank, M.A., LCPC
- Jay Jackson Swanson
- Megan E Swanson, HIS
- Samantha C Swanson
- Shreya Reddy Swarna, D.M.D
- Swedish American Hospital (Swedish American DME)
- Swedish American Pediatric Therapy Services
- Swedishamerican Hospital (Swedishamerican Hospital Pharmacy)
- Swedishamerican Hospital
- Swedishamerican Hospital (Women and Children's Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.