Active NPI 1356935100 Individual Practitioner Female Practitioner

Jayda Lea Kosydor , APRN

Nurse Practitioner - Pediatrics • Marion, IL

Professional Overview & Biography Verified Profile Summary

Jayda Kosydor, APRN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Marion, IL. Practice services are available at 3412 OFFICE PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3412 Office Park Dr

Marion, IL 629596477

Telephone 6189930404

Associated Practice Facility / Clinic

🏢 Health Heroes Of Illinois, Inc. Facility NPI 1588054100

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Marion, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.0 Yrs

State Avg: 9.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Marion, IL (694 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

Medical Specialties & State Licenses

CMS Verified: 2021-03-03

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License IL 209022897

Definition to come...

Practice Associates & Co-Workers

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

18 Associated Practitioners

Michelle Wharton , APN, NP-C

Nurse Practitioner - Family

NPI 1073966313

Advanced Practice Nurse, Nurse Practitioner (Certified)

Annie Imboden , CNP

Nurse Practitioner - Pediatrics

NPI 1093904179

Certified Nurse Practitioner

Dr. Carline Mbeumo , MD

Pediatrics

NPI 1104268168

Doctor of Medicine (M.D.)

Tarryn Whorton

Nurse Practitioner - Pediatrics

NPI 1124987821

Dr. Bindu Reddy , MD

Pediatrics

NPI 1215914775

Doctor of Medicine (M.D.)

Dr. Amy Gerwe , MD

Pediatrics

NPI 1225257470

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 03, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2021

Registered at 3412 OFFICE PARK DR, MARION, IL 629596477 (Tel: 6189930404)

📍

Updated Business Mailing Address March 03, 2021

Registered at 3412 OFFICE PARK DR, MARION, IL 629596477 (Tel: 6189930404)

👤

Provider Name / Credentials Updated March 03, 2021

Recorded as JAYDA KOSYDOR, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2021

Nurse Practitioner (License #209022897 in IL)

🟢

Initial NPI Registration & Enumeration February 23, 2021

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: 1356935100

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 23, 2021

Last Update: March 03, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3412 Office Park Dr

Marion, IL 629596477

Phone: 6189930404

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.