Jordan Rieke, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209-031059 Issued in IL

Practice address

5404 W Elm St Ste Q
McHenry, IL 60050-4007

Phone

(815) 344-7951

NPI assigned

Nov 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jordan Timpe Former name

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kohn Group LTDGroup PAC ID 5597762385, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Kohn Group, LTD

  • Psychiatry Physician
  • McHenry, IL
  • NPI 1639263197
  Medicare reassignment Care Compare group NPD
• Trinty Chiropractic and Wellnes LTD

  • Chiropractor
  • McHenry, IL
  • NPI 1700994407
  NPD (past)

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1184448177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 HILLSIDE DR",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "600818369",
            "telephone_number": "815-219-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 W ELM ST STE Q",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504007",
            "telephone_number": "815-344-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEKE",
        "first_name": "JORDAN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209-031059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "TIMPE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leeann Faye Richert
• Katherine Richmond
• Edward Rickert, LCPC
• Linnea Anne Rider
• Angel Ellen Ridgeway
• Rachel Elizabeth Rietveld, DPT
• Lorena Ashley Riggs
• Thomas Francis Riley
• Georgia Rinda
• Stacy Sue Ritter, MHP

• Psychiatric/Mental Health Nurse Practitioner in McHenry, IL
• Providers in McHenry, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.

Verify at the official NPI Registry.