Active NPI
Jessica Serena Marie Belobraydic, MSN, APRN, FNP-C
- Nurse Practitioner
- Herrin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209013998
- Practice address
- 220 S Park Ave FL 2
Herrin, IL 62948-3602 - Phone
- (618) 988-6240
- NPI assigned
- May 4, 2016
- Last updated
- Aug 4, 2025
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209013998 | IL | Primary |
| Family Nurse Practitioner | 363LF0000X | 209013998 | IL |
Addresses
Primary practice location
220 S Park Ave FL 2
Herrin, IL 62948-3602
Mailing address
220 S Park Ave FL 2
Herrin, IL 62948-3602
Phone (618) 988-6240
Other practice location 1
405 W Jackson St
Carbondale, IL 62902-9000
Phone (618) 549-0721
Other practice location 2
305 W Jackson St Ste 206
Carbondale, IL 62901-1474
Phone (618) 457-3006
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbelobraydic14057@sih.direct-ci.com | ||
| Direct Messaging Address | jbelobraydic14057@sih.direct-ci.com |
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 S Park Ave
FL 2
Herrin, IL 62948-3602
Phone (618) 988-6240
3333 W Deyoung St
Marion, IL 62959-5884
Phone (618) 998-7000
Hospital & facility affiliations
- Memorial Hospital of Carbondale
- Herrin Hospital
- Heartland Regional Medical Center
- Ferrell Hospital Community Foundations
- Fairfield Memorial Hospital 1
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 55.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients |
Locations
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
305 W Jackson St
Ste 206
Carbondale, IL 62901
Phone (618) 457-3006
305 W Jackson St
Ste 301
Carbondale, IL 62901
Phone (618) 529-0520
405 W Jackson St
Carbondale, IL 62901
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
220 S Park Ave
Fl 2
Herrin, IL 62948
Phone (618) 988-6240
3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020
509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939
Interoperability endpoints
- jbelobraydic14057@sih.direct-ci.com
Organizations & group practices 4
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.
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
dba Deaconess IL Specialty 3331 DeYoung
- Surgery Physician
- Marion, IL
- NPI 1972210235
-
dba Deaconess Care Group Illinois Union County
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
Nurse Practitioner
-
dba Deaconess IL Specialty Ricker
- Orthopaedic Surgery Physician
- Salem, IL
- NPI 1730896291
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Deaconess Illinois Medical Center
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
-
dba Carmi Family Medicine
- Rural Health Clinic/Center
- Carmi, IL
- NPI 1134650997
Hospital
-
dba Harrisburg Family Medicine
- Rural Health Clinic/Center
- Harrisburg, IL
- NPI 1184202392
Hospital
-
- Critical Access Hospital
- Eldorado, IL
- NPI 1194713404
-
dba Ferrell Hospital Family Practice
- Rural Health Clinic/Center
- Eldorado, IL
- NPI 1457586620
Hospital
-
dba McLeansboro Family Medicine
- Rural Health Clinic/Center
- McLeansboro, IL
- NPI 1689217820
Hospital
-
dba Eldorado Family Medicine Clinic
- Rural Health Clinic/Center
- Eldorado, IL
- NPI 1700011046
Hospital
-
dba Memorial Hospital of Carbondale
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
dba Herrin Hospital
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1699120055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S PARK AVE FL 2",
"city": "HERRIN",
"state": "IL",
"postal_code": "629483602",
"telephone_number": "618-988-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S PARK AVE FL 2",
"city": "HERRIN",
"state": "IL",
"postal_code": "629483602",
"telephone_number": "618-988-6240"
}
],
"practiceLocations": [
{
"address_1": "405 W Jackson St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629029000",
"country_code": "US",
"telephone_number": "618-549-0721",
"fax_number": "618-529-0449",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "305 W Jackson St Ste 206",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011474",
"country_code": "US",
"telephone_number": "618-457-3006",
"fax_number": "618-457-3007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELOBRAYDIC",
"first_name": "JESSICA",
"middle_name": "SERENA MARIE",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209013998",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209013998",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbelobraydic14057@sih.direct-ci.com",
"affiliation": "N",
"address_1": "305 W Jackson St Ste 301",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011474",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbelobraydic14057@sih.direct-ci.com",
"affiliation": "N",
"address_1": "220 S Park Ave Fl 2",
"city": "Herrin",
"state": "IL",
"country_code": "US",
"postal_code": "629483602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Herrin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.