Jaycie N Liebendorfer

APRN, CNP | Nurse Practitioner | 15+ years Exp

1701 E College Ave, Bloomington
  Illinois, 61704-2100
309-664-3130
Accepts Medicare Nurse Anesthetist in Bloomington, Illinois.
Jaycie N Liebendorfer is a Bloomington, Illinois based nurse practitioner with 15 years of experience in . She completed her graduation in 2010. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jaycie N Liebendorfer is 209008461 for Primary Care in Illinois. Her current practice location is 1701 E College Ave, Bloomington. Patients can reach her at 309-664-3130 or can fax her at 309-664-3258. Jaycie N Liebendorfer is APRN, CNP and her NPI number (Unique professional ID assigned by NPPES) is 1124329206.
Jaycie N Liebendorfer has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jaycie N Liebendorfer speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Jaycie N Liebendorfer
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: APRN, CNP
Experience: 15+ years
Medical School Attended:Other
Graduation Year:2010
Accepts Medicare Assignment:Yes
Practice Address:1701 E College Ave, Bloomington,
Illinois, 61704-2100
Phone:309-664-3130
Fax:309-664-3258
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 5890976294
Enrollment ID: I20110217000678
NPI Number: 1124329206
NPI Enumeration Date: 05 Nov, 2010
NPI Last Update On: 25 Feb, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jaycie N Liebendorfer are as mentioned below.
License NumberSpecializationStateStatus
209008461Primary Care IllinoisPrimary
209008461Nurse Practitioner IllinoisSecondary
209008461Psych/Mental Health IllinoisSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(140162)Bloomington, ILAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Jaycie N Liebendorfer is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Osf Multi-specialty Group (3678889789)1494
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Jaycie N Liebendorfer
1701 E College Ave,
Bloomington, Illinois
Zip: 61704-2101
Phone Number: 309-664-3130
Fax Number: 309-664-3258
Patients can reach Jaycie N Liebendorfer at 1701 E College Ave, Bloomington, Illinois or can call to book an appointment on 309-664-3130.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.