Active NPI
Jennifer Teruko Vermette, FNP-C
- Family Nurse Practitioner
- Tinley Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209015030
- Practice address
- 8505 183Rd St Ste a
Tinley Park, IL 60487-9354 - Phone
- (815) 824-4406
- NPI assigned
- Oct 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209015030 | IL | Primary |
Addresses
Primary practice location
8505 183Rd St Ste a
Tinley Park, IL 60487-9354
Mailing address
8505 183Rd St Ste a
Tinley Park, IL 60487-9354
Phone (815) 824-4406
Other names 1
- Jennifer Teruko Fewell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, AR, LA, AZ, GA, PA, IA, CA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Vascular Specialists of Indiana LLC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services of Iowa PLLC | Family | Current | Accepting new patients |
| Vascular Specialists LLC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
Locations
1202 NE McClain Rd
Bentonville, AR 72712
Phone (479) 278-4323
60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281
3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167
332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073
8505 183rd St
Ste A
Tinley Park, IL 60487
Phone (815) 824-4406
2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895
1650 Market St
Ste 3600
Philadelphia, PA 19103
Phone (484) 557-2367
5410 Maryland Way
Ste 400
Brentwood, TN 37027
Interoperability endpoints
- jennifer.vermette.1@22854.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Vascular Surgery Physician
- Tinley Park, IL
- NPI 1992126668
-
- Nephrology Physician
- Davenport, IA
- NPI 1285344150
Family
-
- Nephrology Physician
- Brentwood, TN
- NPI 1134739089
Family, IL, PA
-
- Nephrology Physician
- Brentwood, TN
- NPI 1255930228
Family, GA
-
- Nephrology Physician
- Brentwood, TN
- NPI 1659987436
Family, LA
-
- Nephrology Physician
- Brentwood, TN
- NPI 1770182735
AR, Family
-
- Nephrology Physician
- Brentwood, TN
- NPI 1952917122
AZ, Family
-
- Nephrology Physician
- Orange, CA
- NPI 1245950757
-
- Vascular Surgery Physician
- Munster, IN
- NPI 1841915527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1043762768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8505 183RD ST STE A",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604879354",
"telephone_number": "815-824-4406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8505 183RD ST STE A",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604879354",
"telephone_number": "815-824-4406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERMETTE",
"first_name": "JENNIFER",
"middle_name": "TERUKO",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-28",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209015030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "FEWELL",
"middle_name": "TERUKO",
"credential": "FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.