Active NPI
Elizabeth Jarrin, N.P.
- Gerontology Nurse Practitioner
- Elgin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 209010879
- Practice address
- 1530 N Randall Rd Ste 210
Elgin, IL 60123-7879 - Phone
- (224) 760-7322
- Fax
- (224) 525-8252
- NPI assigned
- Jan 27, 2014
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 209010879 | IL | Primary |
Addresses
Primary practice location
1530 N Randall Rd Ste 210
Elgin, IL 60123-7879
Mailing address
6400 Industrial Loop
Greendale, WI 53129-2452
Phone (414) 858-4106
Other practice location 1
1990 Larkin Ave
Suite 3
Elgin, IL 60123
Phone (847) 289-5727
Other names 1
- Elizabeth Puga
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 N Jane Dr
Elgin, IL 60123-5118
Phone (847) 697-3750
Merit-based Incentive Payment System (MIPS)
- Final score
- 20.52 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 68.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chestnut Health of Illinois LLC | Current | Accepting new patients | |
| William F. Puga, M.D. and Associates, S.C. | Past | Accepting new patients |
Locations
50 N Jane Dr
Elgin, IL 60123
Phone (815) 844-2610
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
1530 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (224) 760-7322
612 W Saint Marys Rd
Sterling, IL 61081
Phone (815) 626-9020
6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Elgin, IL
- NPI 1588043939
-
- Psychiatry Physician
- Inverness, IL
- NPI 1871688572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1164845152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 INDUSTRIAL LOOP",
"city": "GREENDALE",
"state": "WI",
"postal_code": "531292452",
"telephone_number": "414-858-4106",
"fax_number": "414-423-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 N RANDALL RD STE 210",
"city": "ELGIN",
"state": "IL",
"postal_code": "601237879",
"telephone_number": "224-760-7322",
"fax_number": "224-525-8252"
}
],
"practiceLocations": [
{
"address_1": "1990 Larkin Ave",
"address_2": "Suite 3",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "IL",
"postal_code": "60123",
"country_code": "US",
"telephone_number": "847-289-5727",
"fax_number": "847-888-5469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARRIN",
"first_name": "ELIZABETH",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "209010879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "PUGA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.