Individual provider Active NPI

Jennifer M. Leskis, A.P. N.

  • Adult Health Nurse Practitioner
  • Hoffman Estates, IL
National Provider Identifier
1013061316
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209006186 Issued in IL
Practice address
4885 Hoffman Blvd Ste 400
Hoffman Estates, IL 60192-3727
Phone
(847) 255-9697
Fax
(847) 255-3206
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209006186 IL Primary

Addresses

Primary practice location

4885 Hoffman Blvd Ste 400
Hoffman Estates, IL 60192-3727

Mailing address

4885 Hoffman Blvd Ste 400
Hoffman Estates, IL 60192-3727
Phone (847) 255-9697

Other identifiers 1

IdentifierTypeStateIssuer
P00617713OtherILMEDICARE RAILROAD

Other names 1

  • Jennifer M. Inciong Former name

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
I20070919000536 IL Practitioner - Nurse Practitioner 4284728403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.69 of 100Reported as group
Quality
75.8
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209006186ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical LLC Adult Health CurrentSince Nov 7, 2013 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

977 N Oaklawn Ave
Ste 104
Elmhurst, IL 60126
Phone (960) 832-1775

Organizations & group practices 2

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1013061316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 HOFFMAN BLVD STE 400",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923727",
            "telephone_number": "847-255-9697",
            "fax_number": "847-255-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 HOFFMAN BLVD STE 400",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923727",
            "telephone_number": "847-255-9697",
            "fax_number": "847-255-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESKIS",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "credential": "A.P. N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209006186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00617713",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "INCIONG",
            "middle_name": "M.",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.