Jennifer Marie Lurgio, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

209.010673 Issued in IL

Practice address

6325 Main St
Suite 120
Woodridge, IL 60517-1357

Phone

(630) 964-0506

Fax

(630) 541-7485

NPI assigned

Sep 30, 2013

Sex

Female

Sole proprietor

No

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, KY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  KY

  Medicare reassignment NPD

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1104253517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 MAIN ST",
            "address_2": "SUITE 120",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171357",
            "telephone_number": "630-964-0506",
            "fax_number": "630-541-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 MAIN ST",
            "address_2": "SUITE 120",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171357",
            "telephone_number": "630-964-0506",
            "fax_number": "630-541-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LURGIO",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.010673",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.010673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Sprouts Pediatrics
• Shu Chen Helen Lo, DDS
• Wayne Loek, CRNA
• Louis a Weiss Memorail Hospital
• Robert John Lucas, PHARMD
• Thomas J Machnowski, DDS
• Susan Marie Maczak, RN
• Jason Menno Maddela, SURGICAL ASSISTANT
• Timothy J Madiar, PHARMD.
• Pamela Madison

• Gerontology Nurse Practitioner in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Gerontology Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.