JORDAN ANDREW NASENBENY MD, MSC
NPI 1861197725
Student in an Organized Health Care Education/Training Program in Peoria, IL

Q: What is Jordan Nasenbeny's NPI number?

The NPI number for Jordan Nasenbeny is 1861197725. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Q: What is Jordan Nasenbeny's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Nasenbeny was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 31, 2023

900 MAIN ST STE 720, PEORIA, IL 61602(309) 671-3000 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2023, Mar 31, 2023 (2 updates tracked since 2023).

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About Jordan Andrew Nasenbeny Md, Msc NPPES

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

JORDAN ANDREW NASENBENY MD, MSC (NPI 1861197725) is an individual student in an organized health care education/training program in Peoria, Illinois, licensed in Illinois (390200000X) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1861197725

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJORDAN ANDREW NASENBENYCredential: MD, MSC

Location Address900 MAIN ST STE 720Peoria, IL 61602-5027

Mailing Address501 Ne Madison Ave Apt GPeoria, IL 61603-5805 · (847) 310-5673

Phone(309) 671-3000

Sole ProprietorNo

Enumeration DateMarch 31, 2023

Last NPPES UpdateApril 6, 20232 updates tracked since enumeration

NPPES CertifiedApril 6, 2023

✔ NPI 1861197725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in IL · 390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

900 MAIN ST STE 720, Peoria, IL 61602

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Other Providers at the Same Location NPPES 9

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

CALEB RUMPLE

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