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JENNIFER MICHELLE MAZANEK
NPI 1922951219
Nurse Practitioner in Centralia, IL

Active since February 17, 2026PECOS Enrolled
1003 E MCCORD ST, CENTRALIA, IL 62801(618) 436-6633 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Michelle Mazanek NPPES

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

JENNIFER MICHELLE MAZANEK (NPI 1922951219) is an individual nurse practitioner in Centralia, Illinois, licensed in Illinois (209035018) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1922951219
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER MICHELLE MAZANEK
Location Address1003 E MCCORD STCentralia, IL 62801-3345
Mailing Address1003 E Mccord StCentralia, IL 62801-3345 · (618) 436-6633 · Fax (618) 436-6633
Phone(618) 436-6633
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 17, 2026
Last NPPES UpdateMay 5, 2026
NPPES CertifiedMay 5, 2026
✔ NPI 1922951219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209035018
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1003 E MCCORD ST, Centralia, IL 62801
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Michelle Mazanek is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012487259
PECOS Enrollment IDI20260528002557
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 62801 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 3

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

PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC
Non-Pharmacy Dispensing Site
1003 E MCCORD ST
CENTRALIA, IL 62801
Marion County (618) 436-6633
MRS. CAMILLE DEANNA GREIDER MSN,RN,FNP-BC
Nurse Practitioner (Family)
1003 E MCCORD ST
CENTRALIA, IL 62801
Marion County (618) 436-8000
LAVADA RAINIER SIMPSON
Nurse Practitioner (Family)
1003 E MCCORD ST
CENTRALIA, IL 62801
Marion County (618) 436-6633

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 Mazanek's NPI number?

The NPI number for Jennifer Mazanek is 1922951219. It was assigned to this individual provider in the NPPES registry on February 17, 2026.

Where is Jennifer Mazanek located?

Jennifer Mazanek practices at 1003 E Mccord St, Centralia, IL 62801. The listed phone number is (618) 436-6633.

What is Jennifer Mazanek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Mazanek enrolled in Medicare?

Yes. Jennifer Mazanek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Mazanek was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.