JAMIE LYN MABRY APN/CNP
NPI 1902812688
Nurse Practitioner - Family in Herrin, IL

Q: What is Jamie Mabry's NPI number?

The NPI number for Jamie Mabry is 1902812688. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Jamie Mabry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jamie Mabry was last updated on May 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 01, 2006PECOS Enrolled

201 S 14TH ST, HERRIN, IL 62948(618) 942-2171 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jamie Lyn Mabry Apn/cnp NPPES

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

JAMIE LYN MABRY APN/CNP (NPI 1902812688) is an individual family provider in Herrin, Illinois, licensed in Illinois (209006061) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902812688

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJAMIE LYN MABRYCredential: APN/CNP

Location Address201 S 14TH STHerrin, IL 62948-3631

Mailing Address201 S 14th StHerrin, IL 62948-3631 · (618) 942-2171

Phone(618) 942-2171

Sole ProprietorNo

Enumeration DateAugust 1, 2006

Last NPPES UpdateMay 20, 2008

✔ NPI 1902812688 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 · 209006061

201 S 14TH ST, Herrin, IL 62948

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Other Identifiers 2

OtherP00428389IL · Medicare Railroad

Medicare PINK46605IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamie Lyn Mabry Apn/cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62948 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.