Active NPI
Patricia Jimenez, APRN
- Family Nurse Practitioner
- Carol Stream, IL
National Provider Identifier
1164977617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209018087
- Practice address
- 180 Kehoe Blvd
Carol Stream, IL 60188-1814 - Phone
- (800) 761-5856
- Fax
- (847) 698-4486
- NPI assigned
- Aug 24, 2016
- Last updated
- Jun 5, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209018087 | IL | Primary |
| Registered Nurse | 163W00000X | 041391241 | IL |
Addresses
Primary practice location
180 Kehoe Blvd
Carol Stream, IL 60188-1814
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
927 Oak Ridge Blvd
Elgin, IL 60120-9220
Phone (224) 600-1800
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pjimenez340439@direct.myadvocateaurora.org | ||
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041391241 | IL | MD | Registered Nurse |
| 209018087 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Past | Accepting new patients |
Interoperability endpoints
- pjimenez340439@direct.myadvocateaurora.org
Organizations & group practices 1
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.
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1164977617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 KEHOE BLVD",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601881814",
"telephone_number": "800-761-5856",
"fax_number": "847-698-4486"
}
],
"practiceLocations": [
{
"address_1": "927 Oak Ridge Blvd",
"address_purpose": "LOCATION",
"city": "Elgin",
"state": "IL",
"postal_code": "601209220",
"country_code": "US",
"telephone_number": "224-600-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ",
"first_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-24",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209018087",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041391241",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pjimenez340439@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "180 Kehoe Blvd",
"city": "Carol Stream",
"state": "IL",
"country_code": "US",
"postal_code": "601881814",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "180 Kehoe Blvd",
"city": "Carol Stream",
"state": "IL",
"country_code": "US",
"postal_code": "601881814",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.