Jordan Kelly Mandeville, - Nurse Practitioner in Springfield, IL

Jordan Kelly Mandeville, is a Nurse Practitioner - Psychiatric/mental Health based in Springfield, Illinois. Jordan Kelly Mandeville is licensed to practice in Illinois (license number 209028150) and her current practice location is 1020 S 5th St, Springfield, Illinois. She can be reached at her office (for appointments etc.) via phone at (217) 544-3143.

NPI number for Jordan Kelly Mandeville is 1972387504 and her current mailing address is 61 Bourbaki Rd, New Berlin, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972387504.

Contact Information

Jordan Kelly Mandeville,
1020 S 5th St,
Springfield, IL 62703-2312
(217) 544-3143
Not Available

Map and Direction




Provider's Profile

Full NameJordan Kelly Mandeville
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1020 S 5th St, Springfield, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1972387504
  • Provider Enumeration Date: 08/23/2023
  • Last Update Date: 08/23/2023

Medical Identifiers

Medical identifiers for Jordan Kelly Mandeville such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972387504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209028150 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Kelly Mandeville is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordan Kelly Mandeville,
61 Bourbaki Rd,
New Berlin, IL 62670-4570

Ph: (217) 801-8732
Jordan Kelly Mandeville,
1020 S 5th St,
Springfield, IL 62703-2312

Ph: (217) 544-3143

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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