Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Dwight Bernard

Individual provider Nurse Practitioner · NPI 1215889407

Jason Dwight Bernard is a Nurse Practitioner in Mount Vernon, Illinois. Qualified in 2025, 1 year ago. Practices with Deaconess Illinois Clinic Inc, an 18-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2026

Practice location Address checks out

4105 N Water Tower Pl
Mount Vernon, IL 62864-6296
Phone: (618) 244-9495
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.035119 (IL)

Record details

NPI number1215889407
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 11, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Deaconess Illinois Clinic Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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