JESSICA LYNN MANDRELL
NPI 1043084528
Nurse Practitioner - Psychiatric/Mental Health in Champaign, IL

Q: What is Jessica Mandrell's NPI number?

The NPI number for Jessica Mandrell is 1043084528. It was assigned to this individual provider in the NPPES registry on November 14, 2023.

Q: What is Jessica Mandrell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Mandrell was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 14, 2023PECOS Enrolled

819 BLOOMINGTON RD, CHAMPAIGN, IL 61820(217) 356-1558 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessica Lynn Mandrell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA LYNN MANDRELL (NPI 1043084528) is an individual psychiatric/mental health provider in Champaign, Illinois, licensed in Illinois (209.028468) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043084528

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJESSICA LYNN MANDRELL

Location Address819 BLOOMINGTON RDChampaign, IL 61820-2101

Mailing Address819 Bloomington RdChampaign, IL 61820-2101

Phone(217) 356-1558

Sole ProprietorYes

Enumeration DateNovember 14, 2023

NPPES CertifiedNovember 14, 2023

✔ NPI 1043084528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209.028468

819 BLOOMINGTON RD, Champaign, IL 61820

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Mandrell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CORINNE E KOHLER MD

Family Medicine