Doctor profile · Federal record

Dr. Jordan Mandeville

Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Springfield, IL

  • NPI 1972387504
  • Accepts Medicare
  • 3 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1020 S 5Th St
Springfield, IL 627032312
(217) 544-3143
Mailing address
61 Bourbaki RD
New Berlin, IL 626704570

Credentials & registration

NPPES · NUCC
NPI registered
August 2023 — 3 yrs on file
Year of graduation
2023 — 3 yrs since
Specialty taxonomy
363LP0808X — NUCC code
State license (1)
Illinois #209028150

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1972387504. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$24
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Abbvie INC. 1 $24.29

By nature of payment

Food and Beverage
$24

Frequently asked questions

Auto-generated from federal data
What is Dr. Jordan Mandeville's medical specialty?
Dr. Jordan Mandeville practices Psychiatric/Mental Health Nurse Practitioner in Springfield, IL.
Where does Dr. Jordan Mandeville practice?
Dr. Jordan Mandeville practices at 1020 S 5Th St, Springfield, IL 627032312. Office phone: 2175443143.
What is Dr. Jordan Mandeville's NPI?
Dr. Jordan Mandeville's National Provider Identifier (NPI) is 1972387504, issued by NPPES.
Does Dr. Jordan Mandeville accept Medicare assignment?
Yes. Dr. Jordan Mandeville accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.