Jennifer Dixon-Johnson, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

209025613 Issued in IL

Practice address

600 W Ogden Ave
Hinsdale, IL 60521-3158

Phone

(800) 427-1902

NPI assigned

Oct 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

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.

• Ih Physician Services, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Buffalo Grove, IL
  • NPI 1790566206
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL

  Medicare reassignment NPD
• HCR Manorcare Medical Services of Florida LLC

  • Nurse Practitioner
  • Toledo, OH
  • NPI 1386750420
  NPD
• Southerncare, Inc.

  • Community Based Hospice Care Agency
  • Chadds Ford, PA
  • NPI 1275232795
  NPD

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1124743158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST FL 15",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W OGDEN AVE",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213158",
            "telephone_number": "800-427-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON-JOHNSON",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209025613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina M Dillig, M.D.
• Bruce C Dillon, M.D
• Direct Care of Chicago Inc
• Kerry Disanto, MD
• Alexandra Divito
• Marcin Piotr Dobaczewski, MD, PHD
• Kevin Richard Dobrzynski, DN
• Anna Dolan, LPC
• Dolar R Koya MD SC
• Diane A Doll, MSW, LSW

• Gerontology Nurse Practitioner in Hinsdale, IL
• Providers in Hinsdale, 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 Oct 12, 2022; 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.