TAMARA BRECKON
NPI 1740777093
Nurse Practitioner - Family in Jacksonville, IL

Active since April 21, 2018PECOS EnrolledAccepts Medicare Assignment
425 E STATE ST STE 100, JACKSONVILLE, IL 62650(217) 408-1195(217) 408-1231 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 5, 2025, Dec 29, 2021, May 15, 2018 and 2 more (5 updates tracked since 2018).

About Tamara Breckon NPPES

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

TAMARA BRECKON (NPI 1740777093) is an individual family provider in Jacksonville, Illinois, licensed in Illinois (209017135) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Jersey Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740777093
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMARA BRECKON
Location Address425 E STATE ST STE 100Jacksonville, IL 62650-2125
Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000
Fax(217) 408-1231
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 21, 2018
Last NPPES UpdateJune 5, 20255 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1740777093 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 · 209017135
425 E STATE ST STE 100, Jacksonville, IL 62650

Secondary Practice Locations 2

Location 11515 W Walnut St Ste 2Jacksonville, IL 62650-1157 · Phone (217) 243-6454
Location 2903 S State StJerseyville, IL 62052-2344 · Phone (618) 498-2273 · Fax (618) 639-8100

Accepted 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

Tamara Breckon 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 ID5698020535
PECOS Enrollment IDI20180619000126
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 Reassignments

3

Medicare enrollment records show Tamara Breckon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
3051 HOLLIS DR
Springfield, IL 62704
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Hshs Medical Group Inc
  • 317 clinicians in this Medicare group
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
Rural Health
270 MAPLE SUMMIT RD, MCDOW BLDG
Jerseyville, IL 62052
  • Reassigned Medicare billing, Illinois enrollment
  • 61 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.

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140059
Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County
Emergency services

Thomas H Boyd Memorial Hospital

Critical Access Hospitals · Carrollton, IL
OwnershipGovernment - Local
CMS Certification Number141300
Location800 School StCarrollton, IL 62016 · Greene County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62650 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 2

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

Nurse Practitioner (Psychiatric/Mental Health)
425 E STATE ST STE 100
JACKSONVILLE, IL 62650
Nurse Practitioner (Family)
425 E STATE ST STE 100
JACKSONVILLE, IL 62650

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 Tamara Breckon's NPI number?

The NPI number for Tamara Breckon is 1740777093. It was assigned to this individual provider in the NPPES registry on April 21, 2018.

Where is Tamara Breckon located?

Tamara Breckon practices at 425 E State St Ste 100, Jacksonville, IL 62650. The listed phone number is (217) 408-1195.

What is Tamara Breckon's specialty?

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

Is Tamara Breckon enrolled in Medicare?

Yes. Tamara Breckon 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 organizations bill Medicare for Tamara Breckon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Breckon reassigns Medicare benefits to 3 organizations: Hshs Prairie, Inc (Springfield, IL), Board Of Trustees Of Southern Illinois University (Springfield, IL) and Jersey Community Hospital (Jerseyville, IL). Each 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 Tamara Breckon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tamara Breckon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Tamara Breckon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tamara Breckon affiliated with any hospitals?

According to CMS data, Tamara Breckon is affiliated with Jersey Community Hospital and Thomas H Boyd Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tamara Breckon was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.