Active NPI
Jaelyn Lois Anderson, FNP-BC
- Family Nurse Practitioner
- Watseka, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209021128
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71010380A | IN | MD | Nurse Practitioner |
| 209021128 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Illinois Medical Group LLC | Current | Accepting new patients | |
| Iroquois Memorial Hospital and Resident Home | 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
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.
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
-
- Critical Access Hospital
- Watseka, IL
- NPI 1629003470
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
- Family Medicine Physician
- Kankakee, IL
- NPI 1992092753
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1467290809
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.