Active NPI
Jamie Walters
- Nurse Practitioner
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209014273
- Practice address
- 9401 S Kostner Ave
Heartland Care Partners
Oak Lawn, IL 60453-2697 - Phone
- (800) 427-1902
- Fax
- (419) 531-2664
- NPI assigned
- May 11, 2016
- Last updated
- May 11, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209014273 | IL | Primary |
Addresses
Primary practice location
9401 S Kostner Ave
Heartland Care Partners
Oak Lawn, IL 60453-2697
Mailing address
333 N Summit St FL 7
HCR Manorcare Medical Services of Florida LLC
Toledo, OH 43604-1531
Phone (419) 252-6031
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 622-3407
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HCR Manorcare Medical Services of Florida LLC | Nurse Practitioner | Current | Accepting new patients |
| Healogics Specialty Physicians of Illinois, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
600 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-9630
301 Madison St
Ste 310
Joliet, IL 60435
Phone (815) 773-7737
200 Martin Ave
Naperville, IL 60540
Phone (630) 355-4111
9401 S Kostner Ave
Oak Lawn, IL 60453
Phone (708) 423-6731
L2540
Columbus, OH 43260
333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909
Organizations & group practices 2
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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Alton, IL
- NPI 1215355110
Nurse Practitioner
-
dba Heartland Care Partners
- Nurse Practitioner
- Toledo, OH
- NPI 1386750420
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Morris Hospital & Healthcare Centers
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
-
dba At Home Quality Care-Morris
- Home Health Agency
- Morris, IL
- NPI 1265672307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1104272962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST FL 7",
"address_2": "HCR MANORCARE MEDICAL SERVICES OF FLORIDA LLC",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041531",
"telephone_number": "419-252-6031",
"fax_number": "800-564-5952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 S KOSTNER AVE",
"address_2": "HEARTLAND CARE PARTNERS",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532697",
"telephone_number": "800-427-1902",
"fax_number": "419-531-2664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTERS",
"first_name": "JAMIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-11",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209014273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.