JASON DWIGHT BERNARD
NPI 1215889407
Nurse Practitioner in Mount Vernon, IL
About Jason Dwight Bernard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON DWIGHT BERNARD (NPI 1215889407) is an individual nurse practitioner in Mount Vernon, Illinois, licensed in Illinois (209.035119) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS, is affiliated with Heartland Regional Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Jason Dwight Bernard 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.
Medicare Billing Reassignment
Medicare enrollment records show Jason Bernard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Vernon, IL 62864
- Reassigned Medicare billing, Illinois enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Heartland Regional Medical Center
Acute Care Hospitals · Marion, ILCrossroads Community Hospital
Acute Care Hospitals · Mount Vernon, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62864 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MOUNT VERNON, IL 62864
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 Jason Bernard's NPI number?
The NPI number for Jason Bernard is 1215889407. It was assigned to this individual provider in the NPPES registry on February 11, 2026.
Where is Jason Bernard located?
Jason Bernard practices at 4105 N Water Tower Pl, Mount Vernon, IL 62864. The listed phone number is (618) 244-9495.
What is Jason Bernard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jason Bernard enrolled in Medicare?
Yes. Jason Bernard 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.
Which organization bills Medicare for Jason Bernard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Bernard reassigns Medicare benefits to Deaconess Illinois Clinic, Inc (Mount Vernon, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Bernard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jason Bernard affiliated with any hospitals?
According to CMS data, Jason Bernard is affiliated with Heartland Regional Medical Center and Crossroads Community Hospital.
When was this NPI record last updated?
The NPPES record for Jason Bernard was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jason Dwight Bernard · NPI 1215889407
Nurse Practitioner physician in Mount Vernon, Illinois. Individual provider, active in the CMS NPPES registry since February 11, 2026.
## Identity
- **NPI:** 1215889407 (Entity type: Individual)
- **Enumerated:** February 11, 2026
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209.035119 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4105 N WATER TOWER PL, Mount Vernon, IL 62864-6296
- **Phone:** (618) 244-9495
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Deaconess Illinois Clinic, Inc (NPI 1063128544, Mount Vernon, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1215889407) · Data from the CMS NPPES public registry.