NPIMap

Individual provider Active NPI

Jennifer Lynn Sgro, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1083064679
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014281 Issued in IL
Practice address
1700 W Van Buren St Ste 500
Chicago, IL 60612-5500
Phone
(312) 947-4663
Fax
(312) 563-0421
NPI assigned
Jun 15, 2016
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 209014281 IL
Family Nurse Practitioner 363LF0000X 209014281 IL Primary

Addresses

Primary practice location

1700 W Van Buren St Ste 500
Chicago, IL 60612-5500

Mailing address

1700 W Van Buren St Ste 500
Chicago, IL 60612-5500
Phone (312) 947-4663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170418002542 IL Practitioner - Nurse Practitioner 8729364245 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush Oak Park Physicians Group Elmwood ParkGroup PAC ID 9234393117, 6 clinicians
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 947-4663

7734 W N Ave
Elmwood Park, IL 60707-4124
Phone (708) 660-3900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Mar 1, 2020 Accepting new patients
Rush University Medical Group CurrentSince Feb 1, 2022 Accepting new patients
Rush Oak Park Physicians Group Elmwood Park CurrentSince Jul 1, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Rush University Medical Center CurrentSince Feb 1, 2022 Accepting new patients
Access Community Health Network CurrentSince Apr 10, 2017 Accepting new patients
Access Community Health Network CurrentSince Apr 10, 2017 Accepting new patients
Access Community Health Network Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 1, 2020 Accepting new patients

Locations

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1700 W Van Buren St
Ste 500
Chicago, IL 60612
Phone (312) 563-2875

1700 W Van Buren St
Ste 5328
Chicago, IL 60612

2653 W Ogden Ave
Fl 3
Chicago, IL 60608
Phone (773) 257-6701

75 Remittance Dr
Dept 1611
Chicago, IL 60675

75 Remittance Dr
Ste 162
Chicago, IL 60675

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

7732 Solutions Ctr
Chicago, IL 60677

845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295

7734 W North Ave
Elmwood Park, IL 60707
Phone (708) 456-6611

Interoperability endpoints

  • Direct secure messaging: jsgro59568@direct.rush.rush-health.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1083064679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W VAN BUREN ST STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606125500",
            "telephone_number": "312-947-4663",
            "fax_number": "123-563-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W VAN BUREN ST STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606125500",
            "telephone_number": "312-947-4663",
            "fax_number": "312-563-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGRO",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "209014281",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.