Individual provider Active NPI

Jennifer A Thurmond

  • Family Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1164515326
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000636 Issued in IL
Practice address
444 N Eola Rd Ste 110
Aurora, IL 60502-9619
Phone
(630) 692-5660
Fax
(630) 692-5661
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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 277000636 IL Primary

Addresses

Primary practice location

444 N Eola Rd Ste 110
Aurora, IL 60502-9619

Mailing address

444 N Eola Rd Ste 110
Aurora, IL 60502-9619
Phone (630) 692-5330

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
I20070122000329 IL Practitioner - Nurse Practitioner 5890796676 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1653 W Congress Pkwy
Chicago, IL 60612-3833

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277000636ILMDFamily Nurse Practitioner
209004248ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rush-Copley Medical Group CurrentSince Dec 19, 2016 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince May 16, 2016 Accepting new patients
Rush University Medical Group CurrentSince Sep 25, 2020 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince May 16, 2016 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Rush-Copley Medical Group, NFP CurrentSince Dec 19, 2016 Accepting new patients
Rush University Medical Center CurrentSince Sep 25, 2020 Accepting new patients
Rush Copley Medical Group Past Accepting new patients

Locations

3 E Golf Rd
Arlington Hts, IL 60005
Phone (800) 323-0358

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

1256 Waterford Dr
Ste 230
Aurora, IL 60504
Phone (630) 499-2404

444 N Eola Rd
Ste 110
Aurora, IL 60502
Phone (630) 499-8758

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1653 W Congress Pkwy
#177
Chicago, IL 60612
Phone (312) 947-0229

1653 W Congress Pkwy
Ste 108
Chicago, IL 60612

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

75 Remittance Dr
Dept 1611
Chicago, IL 60675

63 W 87th St
Naperville, IL 60565
Phone (630) 778-7645

4390 State Route 71
Oswego, IL 60543
Phone (630) 551-3338

Interoperability endpoints

  • Direct secure messaging: jthurmond130339@direct.rush.rush-health.com

Organizations & group practices 8

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1164515326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N EOLA RD STE 110",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029619",
            "telephone_number": "630-692-5330",
            "fax_number": "630-692-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N EOLA RD STE 110",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029619",
            "telephone_number": "630-692-5660",
            "fax_number": "630-692-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMOND",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.