Active NPI
Benjamin Jasper, RN
- Registered Nurse
- North Chicago, IL
National Provider Identifier
1184500902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1663681
- Practice address
- 3333 Green Bay Rd
North Chicago, IL 60064-3037 - Phone
- (847) 578-3000
- NPI assigned
- Aug 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.590880 | IL | |
| Registered Nurse | 163W00000X | 1663681 | CO | Primary |
Addresses
Primary practice location
3333 Green Bay Rd
North Chicago, IL 60064-3037
Mailing address
817 Riddlewood LN
Highlands Ranch, CO 80129-6987
Phone (319) 269-5684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1663681 | CO | MD | Registered Nurse |
| 041.590880 | IL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1184500902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 RIDDLEWOOD LN",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801296987",
"telephone_number": "319-269-5684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 GREEN BAY RD",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "600643037",
"telephone_number": "847-578-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASPER",
"first_name": "BENJAMIN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-15",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.590880",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "1663681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.