Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922951219 Individual Practitioner Female Practitioner

Jennifer Michelle Mazanek

Nurse Practitioner • Centralia, IL

Professional Overview & Biography Verified Profile Summary

Jennifer Mazanek is a certified Nurse Practitioner practicing in Centralia, IL. With approximately 1 years of clinical experience since completing medical education in 2025, Jennifer Mazanek delivers high-quality medical care to the local community at 1003 E MCCORD ST.

Jennifer Mazanek does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1003 E Mccord St

Centralia, IL 628013345

Telephone 6184366633
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Centralia, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -6.4 yrs vs City Avg
City Avg: 7.4 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Centralia, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mazanek (1 Years) 1 Yrs
Centralia Specialty Average (7.4 Years) 7.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-05-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209035018

(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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Lavada Simpson

Nurse Practitioner - Family

NPI 1780452235

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 05, 2026

Registered at 1003 E MCCORD ST, CENTRALIA, IL 628013345 (Tel: 6184366633)

📍
Updated Business Mailing Address May 05, 2026

Registered at 1003 E MCCORD ST, CENTRALIA, IL 628013345 (Tel: 6184366633)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2026

Nurse Practitioner (License #209035018 in IL)

NPI Profile Active February 17, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2026

Registered at 4791 OAK GROVE RD ALMA, IL, ALMA, IL 62807 (Tel: 6183222198)

📍
Updated Business Mailing Address February 17, 2026

Registered at 4791 OAK GROVE RD ALMA, IL, ALMA, IL 62807 (Tel: 6183222198)

👤
Provider Name / Credentials Updated February 17, 2026

Recorded as JENNIFER MAZANEK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2026

Student in an Organized Health Care Education/Training Program (License #2026002351 in IL)

🟢
Initial NPI Registration & Enumeration February 17, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922951219
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2026
Last Update: May 05, 2026
Sole Proprietor: No

Mailing Address

1003 E Mccord St

Centralia, IL 628013345

Phone: 6184366633

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.