Jessica Vodicka

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277001756 Issued in IL

Practice address

13045 Ravine Dr
Lemont, IL 60439-7331

Phone

(630) 233-4738

Fax

(630) 566-3897

NPI assigned

May 13, 2014

Last updated

Oct 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Vodicka Family Health & Wellness LLC

  • Health Service Clinic/Center
  • Lemont, IL
  • NPI 1912652645
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1073924015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13045 RAVINE DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604397331",
            "telephone_number": "630-233-4738",
            "fax_number": "630-566-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13045 RAVINE DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604397331",
            "telephone_number": "630-233-4738",
            "fax_number": "630-566-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODICKA",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011388",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Vaid
• Christina L Vazquez, MA
• Christian Vega, PTA
• Anna K Venhuizen
• Vodicka Family Health & Wellness LLC
• Emily Vrkljan, OTR
• Walgreen Co (Walgreens #03710)
• Meghan T Walsh, O.D.
• Waterfall Counseling LLC
• Berteal Waters

• Family Nurse Practitioner in Lemont, IL
• Providers in Lemont, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.