JORDYN LEWANDOWSKI APRN
NPI 1144892175
Nurse Practitioner - Family in Peoria, IL

Q: What is Jordyn Lewandowski's NPI number?

The NPI number for Jordyn Lewandowski is 1144892175. It was assigned to this individual provider in the NPPES registry on July 9, 2021.

Q: What is Jordyn Lewandowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since July 09, 2021PECOS EnrolledAccepts Medicare Assignment

4909 N GLEN PARK PLACE RD, PEORIA, IL 61614(309) 674-7546(309) 691-9286 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 10, 2021, Jul 9, 2021 (2 updates tracked since 2021).

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About Jordyn Lewandowski Aprn NPPES

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

JORDYN LEWANDOWSKI APRN (NPI 1144892175) is an individual family provider in Peoria, Illinois, licensed in Illinois (209.023539) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144892175

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJORDYN LEWANDOWSKICredential: APRN

Location Address4909 N GLEN PARK PLACE RDPeoria, IL 61614-4689

Mailing Address4909 N Glen Park Place RdPeoria, IL 61614-4689 · (309) 674-7546 · Fax (309) 691-9286

Phone(309) 674-7546

Fax(309) 691-9286

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 9, 2021

Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration

NPPES CertifiedAugust 10, 2021

✔ NPI 1144892175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.023539

4909 N GLEN PARK PLACE RD, Peoria, IL 61614

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Other Names 1

Former Name (1)Jordyn Lewandowski

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 Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordyn Lewandowski Aprn 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 ID8527463173

PECOS Enrollment IDI20210820000653

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.

Medicare Billing Reassignment

Medicare enrollment records show Jordyn Lewandowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Soderstrom Dermatology Center S C

Same address

Dermatology

4909 N GLEN PARK PLACE RD
Peoria, IL 61614

Reassigned Medicare billing, Illinois enrollment
31 clinicians in this Medicare group

NPI 1710931670 (309) 674-7546

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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 16

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

TAYLOR MARIE WELLS MD

Dermatology