JORDAN PRIEBE NP
NPI 1477088292
Nurse Practitioner - Family in Columbia, IL

Active since April 30, 2017PECOS EnrolledAccepts Medicare Assignment
1000 ELEVEN S, SUITE 1A, COLUMBIA, IL 62236(618) 281-8400 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2026, Apr 30, 2017 (2 updates tracked since 2017).

About Jordan Priebe Np NPPES

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

JORDAN PRIEBE NP (NPI 1477088292) is an individual family provider in Columbia, Illinois, licensed in Illinois (209015908) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Sparta Community Hospital, and maintains a secondary practice location in Marissa.

NPPES Registry Identity

NPI1477088292
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJORDAN PRIEBECredential: NP
Location Address1000 ELEVEN S, SUITE 1AColumbia, IL 62236-1077
Mailing Address521 N Borders Ave Ste CMarissa, IL 62257-1195 · (618) 295-1591 · Fax (618) 295-1473
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 30, 2017
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1477088292 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 · 209015908
1000 ELEVEN S, Columbia, IL 62236

Secondary Practice Location 1

Location 1521 N Borders Ave Ste CMarissa, IL 62257-1195 · Phone (618) 295-1591 · Fax (618) 295-1473

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

Jordan Priebe 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 ID1456621192
PECOS Enrollment IDI20170727003631
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.

Hospital Affiliations CMS Care Compare

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

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141349
Location818 E BroadwaySparta, IL 62286 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62236 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 2

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

Nurse Practitioner (Family)
1000 ELEVEN S
COLUMBIA, IL 62236
Otolaryngology
1000 ELEVEN S, STE 4F
COLUMBIA, IL 62236

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 Jordan Priebe's NPI number?

The NPI number for Jordan Priebe is 1477088292. It was assigned to this individual provider in the NPPES registry on April 30, 2017.

Where is Jordan Priebe located?

Jordan Priebe practices at 1000 Eleven S Suite 1A, Columbia, IL 62236. The listed phone number is (618) 281-8400.

What is Jordan Priebe's specialty?

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

Is Jordan Priebe enrolled in Medicare?

Yes. Jordan Priebe 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 Jordan Priebe affiliated with any hospitals?

According to CMS data, Jordan Priebe is affiliated with Sparta Community Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Priebe was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.