Individual provider Active NPI

Jupiter Janelle Jones, FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1003620014
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209031527 Issued in IL
Practice address
45 W 111TH St
Chicago, IL 60628-4200
Phone
(773) 995-3000
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209031527 IL Primary

Addresses

Primary practice location

45 W 111TH St
Chicago, IL 60628-4200

Mailing address

230 E Ohio St Ste 4102374
Chicago, IL 60611-3265
Phone (773) 312-1855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807002031 IL Practitioner - Nurse Practitioner 2264930460 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

101 E Via Ghiglieri
Toluca, IL 61369-9596
Phone (877) 883-9430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209031527ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Illinois PLLC CurrentSince May 1, 2025 Accepting new patients
Renew Wound Care of Illinois PLLC CurrentSince Oct 28, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince May 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 21, 2026 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

1101 E State St
Geneva, IL 60134
Phone (630) 208-1876

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

101 E Via Ghiglieri
Toluca, IL 61369
Phone (815) 452-2367

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1003620014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E OHIO ST STE 4102374",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113265",
            "telephone_number": "773-312-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284200",
            "telephone_number": "773-995-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JUPITER",
        "middle_name": "JANELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209031527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.