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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAYCIE N LIEBENDORFER APRN, CNP
NPI 1124329206
Nurse Practitioner - Psychiatric/Mental Health in Clinton, IL

Active since November 05, 2010PECOS Enrolled
207 W VAN BUREN ST, CLINTON, IL 61727(309) 323-0206 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 24, 2026, Feb 25, 2025 (2 updates tracked since 2025).

About Jaycie N Liebendorfer Aprn, Cnp NPPES

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

JAYCIE N LIEBENDORFER APRN, CNP (NPI 1124329206) is an individual psychiatric/mental health provider in Clinton, Illinois, licensed in Illinois (277.005669) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124329206
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJAYCIE N LIEBENDORFERCredential: APRN, CNP
Location Address207 W VAN BUREN STClinton, IL 61727-2235
Mailing Address1701 E College AveBloomington, IL 61704-2101 · (309) 664-3130 · Fax (309) 664-3258
Phone(309) 323-0206
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 5, 2010
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1124329206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in IL · 277.005669✔ Licensed in IL · 209008461
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209008461 (IL)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 209008461 (IL)
207 W VAN BUREN ST, Clinton, IL 61727
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Other Names 1

Former Name (1)Jaycie N Roop

Secondary Practice Locations 2

Location 11701 E College AveBloomington, IL 61704-2100 · Phone (309) 664-3130 · Fax (309) 664-3258
Location 21302 Franklin Ave, Suite 1100Normal, IL 61761-3551 · Phone (309) 268-2727

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

Jaycie N Liebendorfer Aprn, Cnp 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 ID5890976294
PECOS Enrollment IDI20110217000678
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
291 services97 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services25 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61727 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 3

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

BECKY LARGENT LCSW, APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
207 W VAN BUREN ST
CLINTON, IL 61727
De Witt County (309) 323-0206
NEAL CLAY IDEN LCSW
Social Worker (Clinical)
207 W VAN BUREN ST
CLINTON, IL 61727
De Witt County (309) 271-1263
BL BEHAVIORAL HEALTH PLLC
Nurse Practitioner (Psychiatric/Mental Health)
207 W VAN BUREN ST
CLINTON, IL 61727
De Witt County (309) 323-0206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaycie Liebendorfer's NPI number?

The NPI number for Jaycie Liebendorfer is 1124329206. It was assigned to this individual provider in the NPPES registry on November 5, 2010. The provider is also known as Jaycie N Roop.

Where is Jaycie Liebendorfer located?

Jaycie Liebendorfer practices at 207 W Van Buren St, Clinton, IL 61727. The listed phone number is (309) 323-0206.

What is Jaycie Liebendorfer's specialty?

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

Is Jaycie Liebendorfer enrolled in Medicare?

Yes. Jaycie Liebendorfer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jaycie Liebendorfer affiliated with any hospitals?

According to CMS data, Jaycie Liebendorfer is affiliated with St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Jaycie Liebendorfer was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.