Jennifer Michelle Mazanek
NPI 1922951219ActiveIndividual· Nurse Practitioner· Centralia, IL
Nurse Practitioner in Centralia, Illinois, licensed in IL, with an NPI issued in February 2026. Enrolled in Medicare as practitioner - nurse practitioner. Lists Ssm Health St Mary's Hospital -Centralia as a hospital affiliation.
Overview
| NPI | 1922951219 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 17, 2026 |
| Last updated in NPPES | May 5, 2026 |
| Certified by provider | May 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209035018 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Hospital affiliation
- Ssm Health St Mary's Hospital -CentraliaCentralia, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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