JENNIFER NICOLE BORN NP
NPI 1538636642
Nurse Practitioner in Decatur, IL
About Jennifer Nicole Born Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER NICOLE BORN NP (NPI 1538636642) is an individual nurse practitioner in Decatur, Illinois, licensed in Illinois (209-018415) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
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
Jennifer Nicole Born 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.
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Born reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mt Zion, IL 62549
- Reassigned Medicare billing, Illinois enrollment
- 4 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62526 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DECATUR, IL 62526
DECATUR, IL 62526
DECATUR, IL 62526
DECATUR, IL 62526
DECATUR, IL 62526
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 Jennifer Born's NPI number?
The NPI number for Jennifer Born is 1538636642. It was assigned to this individual provider in the NPPES registry on October 26, 2018.
Where is Jennifer Born located?
Jennifer Born practices at 210 W Mckinley Ave, Decatur, IL 62526. The listed phone number is (217) 876-6600.
What is Jennifer Born's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jennifer Born enrolled in Medicare?
Yes. Jennifer Born 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 Jennifer Born's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Born reassigns Medicare benefits to Dolly Briscoe Enterprises, Inc. (Mt Zion, 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 Jennifer Born's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jennifer Born was last updated on October 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Jennifer Nicole Born, NP · NPI 1538636642
Nurse Practitioner physician in Decatur, Illinois. Individual provider, active in the CMS NPPES registry since October 26, 2018.
## Identity
- **NPI:** 1538636642 (Entity type: Individual)
- **Enumerated:** October 26, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209-018415 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 210 W MCKINLEY AVE, Decatur, IL 62526-5858
- **Phone:** (217) 876-6600
## 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:** Dolly Briscoe Enterprises, Inc. (NPI 1447555685, Mt Zion, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1538636642) · Data from the CMS NPPES public registry.