Jaelyn Lois Anderson, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Watseka, IL
NPI 1659909372 · NPPES record last updated Aug 21, 2026
Key facts
- NPI
- 1659909372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209021128 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prime Healthcare Illinois Medical Group LLC
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
- Presence St Marys Hospital
- Riverside Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220920003694 | IL | Practitioner - Nurse Practitioner | 6800209115 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71010380A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iroquois Memorial Hospital and Resident Home | Current |
Accepting new patients | |
| Prime Healthcare Illinois Medical Group LLC | Current |
Accepting new patients | |
| First Care Family Clinic, S.C. | Current |
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
662 N Convent St
Bourbonnais, IL 60914
Phone (815) 802-0088
100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780
656 N Convent St
Bourbonnais, IL 60914
Phone (815) 936-5167
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209021128 | IL | Yes |
| 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
- Jaelyn Lois French
Other providers in Watseka, IL
- Elizabeth Albrecht
- Bonita Allen
- Alliance Medical Partners, LLC
- Steven Ray Anderson
- Arcadia Care Watseka LLC
- Arcadia Care Watseka LLC
- Brandi Arseneau
- Aunt Marthas Youth Service Center Inc
All providers in Watseka, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.