Individual provider Active NPI

Jaelyn Lois Anderson, FNP-BC

  • Family Nurse Practitioner
  • Watseka, IL
National Provider Identifier
1659909372
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209021128 Issued in IL
Practice address
1490 E Walnut St Ste a
Watseka, IL 60970-1833
Phone
(815) 432-7693
Fax
(815) 936-7228
NPI assigned
Mar 29, 2020
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209021128 IL Primary
Nurse Practitioner 363L00000X 71010380A IN

Addresses

Primary practice location

1490 E Walnut St Ste a
Watseka, IL 60970-1833

Mailing address

1490 E Walnut St Ste a
Watseka, IL 60970-1833
Phone (815) 432-7693

Other names 1

  • Jaelyn Lois French Other name

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
I20220920003694 IL Practitioner - Nurse Practitioner 6800209115 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

100 Provena Way
Suite 103
Bourbonnais, IL 60914-4797
Phone (815) 937-8780

555 W Court St
Suite 406
Kankakee, IL 60901-3675
Phone (815) 932-7474

656 N Convent St
Bourbonnais, IL 60914-1393

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71010380AINMDNurse Practitioner
209021128ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Illinois Medical Group LLC CurrentSince Jun 23, 2025 Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince Jul 5, 2022 Accepting new patients
First Care Family Clinic, S.C. CurrentSince Dec 10, 2023 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

656 N Convent St
Bourbonnais, IL 60914
Phone (815) 936-5167

662 N Convent St
Bourbonnais, IL 60914
Phone (815) 802-0088

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

70 Meadowview Ctr
Ste 200
Kankakee, IL 60901
Phone (815) 802-0000

380 W North St
Manhattan, IL 60442
Phone (815) 478-4975

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

Organizations & group practices 5

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 2

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": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1659909372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E WALNUT ST STE A",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701833",
            "telephone_number": "815-432-7693",
            "fax_number": "815-936-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E WALNUT ST STE A",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701833",
            "telephone_number": "815-432-7693",
            "fax_number": "815-936-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JAELYN",
        "middle_name": "LOIS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021128",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010380A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAELYN",
            "last_name": "FRENCH",
            "middle_name": "LOIS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Watseka, IL

Sources for this page

Verify at the official NPI Registry.