Individual provider Active NPI

Diane Jones, NP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1154724417
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209011939 Issued in IL
Practice address
8627 S Prairie Ave
Chicago, IL 60619-6043
Phone
(773) 988-1601
NPI assigned
Oct 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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 209011939 IL Primary

Addresses

Primary practice location

8627 S Prairie Ave
Chicago, IL 60619-6043

Mailing address

8627 S Prairie Ave
Chicago, IL 60619-6043
Phone (773) 988-1601

Other practice location 1

918 W Montrose Ave
Chicago, IL 60613-1411
Phone (312) 528-5554

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address djones343440@direct.myadvocateaurora.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209011939ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Urgent Care Professionals PLLC CurrentSince Feb 13, 2021 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Jul 17, 2026 Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients

Locations

10834B S Doty Ave
Chicago, IL 60628
Phone (773) 995-9911

4195 N Water St
Decatur, IL 62526
Phone (217) 775-6150

770 E Dundee Rd
Palatine, IL 60074
Phone (708) 733-7750

Interoperability endpoints

  • Direct secure messaging: djones343440@direct.myadvocateaurora.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1154724417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 S PRAIRIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196043",
            "telephone_number": "773-988-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8627 S PRAIRIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196043",
            "telephone_number": "773-988-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "918 W Montrose Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606131411",
            "country_code": "US",
            "telephone_number": "312-528-5554",
            "fax_number": "773-907-0317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "918 W Montrose Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606131411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djones343440@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "918 W Montrose Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606131411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.