Individual provider Active NPI

Dawyn Marie Jenkins

  • Family Nurse Practitioner
  • Olympia Fields, IL
National Provider Identifier
1083258008
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.001815 Issued in IL
Practice address
2555 Lincoln Hwy Ste 205
Olympia Fields, IL 60461-1939
Phone
(708) 677-8337
NPI assigned
Nov 1, 2019
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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 277.001815 IL Primary

Addresses

Primary practice location

2555 Lincoln Hwy Ste 205
Olympia Fields, IL 60461-1939

Mailing address

2555 Lincoln Hwy Ste 205
Olympia Fields, IL 60461-1939
Phone (708) 677-8337

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
I20201027000399 IL Practitioner - Nurse Practitioner 5193145464 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

1251 E Richton Rd
Crete, IL 60417-1623
Phone (888) 705-8722

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277.001815ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC CurrentSince Jan 1, 2023 Accepting new patients
Midwest Post Acute Care PLLC CurrentSince Oct 12, 2020 Accepting new patients
Midwest Post Acute Care Aco PLLC CurrentSince Oct 1, 2024 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Feb 7, 2022 Accepting new patients
Beauty by the Bundle Day Spa Inc. CurrentSince Nov 16, 2025 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Feb 7, 2022 Accepting new patients
Midwest Express Care 2, Inc PastSince Jan 1, 2023 Accepting new patients

Locations

12200 Western Ave
Blue Island, IL 60406
Phone (630) 581-5372

716 18th St
Charleston, IL 61920
Phone (217) 345-7054

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1 Park Ln W
Clinton, IL 61727
Phone (217) 935-8500

1251 E Richton Rd
Crete, IL 60417
Phone (708) 367-4414

402 Town Center Rd
Matteson, IL 60443
Phone (708) 843-1877

500 S Walnut St
Momence, IL 60954
Phone (815) 308-0850

2555 Lincoln Hwy
Ste 205
Olympia Flds, IL 60461
Phone (708) 323-6994

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1083258008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 LINCOLN HWY STE 205",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611939",
            "telephone_number": "708-677-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 LINCOLN HWY STE 205",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611939",
            "telephone_number": "708-677-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DAWYN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.001815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.