JANNICE EDMONSON NP
NPI 1083578348
Nurse Practitioner - Psychiatric/Mental Health in Carbondale, IL

Q: What is Jannice Edmonson's NPI number?

The NPI number for Jannice Edmonson is 1083578348. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Q: What is Jannice Edmonson'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 Jannice Edmonson was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 December 11, 2025PECOS EnrolledAccepts Medicare Assignment

2601 W MAIN ST, CARBONDALE, IL 62901(618) 549-5361(618) 351-4878 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Jan 5, 2026, Dec 11, 2025 (3 updates tracked since 2025).

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About Jannice Edmonson Np NPPES

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

JANNICE EDMONSON NP (NPI 1083578348) is an individual psychiatric/mental health provider in Carbondale, Illinois, licensed in Illinois (209034199) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1083578348

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJANNICE EDMONSONCredential: NP

Location Address2601 W MAIN STCarbondale, IL 62901-1031

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 549-5361

Fax(618) 351-4878

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 11, 2025

Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1083578348 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 · 209034199

2601 W MAIN ST, Carbondale, IL 62901

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Secondary Practice Locations 4

Location 1100 Dr Warren Tuttle DrHarrisburg, IL 62946-2718 · Phone (618) 252-0999 · Fax (618) 252-2032

Location 2201 S 14th StHerrin, IL 62948-3631 · Phone (618) 942-2171 · Fax (618) 351-4917

Location 32 S Hospital DrMurphysboro, IL 62966-3333 · Phone (618) 684-3156 · Fax (618) 684-1024

Location 4405 W Jackson StCarbondale, IL 62901-1462 · Phone (618) 549-0721 · Fax (618) 457-0469

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jannice Edmonson Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951887850

PECOS Enrollment IDI20260110000044

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 62901 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.

MELISSA A MARTINEZ MATEO M.D.

Internal Medicine (Gastroenterology)