Active NPI
Jenice Lopez, FNP-C
- Family Nurse Practitioner
- Des Plaines, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209021901
- Practice address
- 77 Rand Rd
Des Plaines, IL 60016-1005 - Phone
- (847) 296-3040
- NPI assigned
- Sep 1, 2020
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209-021901 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209021901 | IL | Primary |
Addresses
Primary practice location
77 Rand Rd
Des Plaines, IL 60016-1005
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
101 S Northwest Hwy
Barrington, IL 60010-4607
Phone (847) 381-4105
Other practice location 2
936 Willow Rd
Northbrook, IL 60062-6822
Phone (847) 668-3522
Other practice location 3
15 N Buffalo Grove Rd
Buffalo Grove, IL 60089
Phone (800) 225-0394
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | jlopez368031@direct.myadvocateaurora.org | Direct | |
| Direct Messaging Address | jlopez368031@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
77 Rand Rd
Des Plaines, IL 60016-1005
Phone (847) 294-5490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-021901 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Midwest Home Physicians Inc | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
15 N Buffalo Grove Rd
Buffalo Grove, IL 60089
Phone (847) 520-7080
29373 Network Pl
Chicago, IL 60673
77 Rand Rd
Des Plaines, IL 60016
Phone (847) 294-5490
6421 N Hamlin Ave
Ste F
Lincolnwood, IL 60712
Phone (847) 324-9728
Interoperability endpoints
- jlopez368031@direct.myadvocateaurora.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1205440948",
"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": "77 RAND RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161005",
"telephone_number": "847-296-3040"
}
],
"practiceLocations": [
{
"address_1": "101 S Northwest Hwy",
"address_purpose": "LOCATION",
"city": "Barrington",
"state": "IL",
"postal_code": "600104607",
"country_code": "US",
"telephone_number": "847-381-4105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "936 Willow Rd",
"address_purpose": "LOCATION",
"city": "Northbrook",
"state": "IL",
"postal_code": "600626822",
"country_code": "US",
"telephone_number": "847-668-3522",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 N Buffalo Grove Rd",
"address_purpose": "LOCATION",
"city": "Buffalo Grove",
"state": "IL",
"postal_code": "60089",
"country_code": "US",
"telephone_number": "800-225-0394",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "JENICE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209-021901",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209021901",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "15 N Buffalo Grove Rd",
"city": "Buffalo Grove",
"state": "IL",
"country_code": "US",
"postal_code": "60089",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlopez368031@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "15 N Buffalo Grove Rd",
"city": "Buffalo Grove",
"state": "IL",
"country_code": "US",
"postal_code": "60089",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlopez368031@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "77 Rand Rd",
"city": "Des Plaines",
"state": "IL",
"country_code": "US",
"postal_code": "600161005",
"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": "77 Rand Rd",
"city": "Des Plaines",
"state": "IL",
"country_code": "US",
"postal_code": "600161005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.