Jaynee E Pendergast, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036144109 Issued in IL

Practice address

1345 Edwards St Ste 2
Morris, IL 60450-1692

Phone

(815) 942-1421

Fax

(815) 488-2033

NPI assigned

Jun 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jaynee Ellise Krippel 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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Midwestern University, Chicago College of Osteopathic Med, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventist Midwest HealthGroup PAC ID 2769790401, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065
• Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpendergast3718898@adventhealth.direct-ci.com
• Direct secure messaging: ms_jpender5@landmarkhealth-direct.org

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.

• Adventist Midwest Health

  • Family Medicine Physician
  • La Grange, IL
  • NPI 1912353822

  Family Medicine, IL

  Medicare reassignment Care Compare group NPD
• Central Dupage Hospital Association

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810

  IL

  Medicare reassignment NPD
• Morris Hospital

  • General Practice Physician
  • Morris, IL
  • NPI 1558466268

  IL

  Medicare reassignment NPD
• Adventist Midwest Health

  • General Acute Care Hospital
  • La Grange, IL
  • NPI 1407889652
  NPD
• Central Dupage Hospital Association

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895
  NPD
• Morris Hospital

  • General Practice Physician
  • Channahon, IL
  • NPI 1275648511

  Family Medicine

  NPD
• Morris Hospital

  • Health Service Clinic/Center
  • Morris, IL
  • NPI 1376658658
  NPD
• Morris Hospital

  • General Acute Care Hospital
  • Morris, IL
  • NPI 1649370057
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Midwest Health

  • General Acute Care Hospital
  • Hinsdale, IL
  • NPI 1265465439

  Hospital

  Care Compare affiliation
• Adventist Midwest Health

  • General Acute Care Hospital
  • La Grange, IL
  • NPI 1407889652

  Hospital

  Care Compare affiliation
• Adventist Midwest Health

  • Psychiatric Hospital Unit
  • Hinsdale, IL
  • NPI 1447270780

  Hospital

  Care Compare affiliation
• Adventist Midwest Health

  • Rehabilitation Hospital Unit
  • La Grange, IL
  • NPI 1588068274

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1235519901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SCHOOL ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501207",
            "telephone_number": "815-941-9124",
            "fax_number": "815-941-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 EDWARDS ST STE 2",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501692",
            "telephone_number": "815-942-1421",
            "fax_number": "815-488-2033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 Roosevelt Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601376141",
            "country_code": "US",
            "telephone_number": "630-384-6200",
            "fax_number": "630-384-6229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "389 E Main St",
            "address_purpose": "LOCATION",
            "city": "Braidwood",
            "state": "IL",
            "postal_code": "604082010",
            "country_code": "US",
            "telephone_number": "815-458-2532",
            "fax_number": "815-458-2455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 N Oak St",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213860",
            "country_code": "US",
            "telephone_number": "630-856-8900",
            "fax_number": "630-856-8933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 S Prairie Ave",
            "address_purpose": "LOCATION",
            "city": "Dwight",
            "state": "IL",
            "postal_code": "604201350",
            "country_code": "US",
            "telephone_number": "815-584-3291",
            "fax_number": "815-584-3475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDERGAST",
        "first_name": "JAYNEE",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125066219",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036144109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE",
            "identifier": "036.144109",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYNEE",
            "last_name": "KRIPPEL",
            "middle_name": "ELLISE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Parsons, OT
• Laura Catherine Passerman, SLP
• Biren M. Patel, M.D.
• Laura Margaret Patterson, MA, LCPC
• Kyle T Pearson, DPM
• Olga Marie Peplos, MD
• Joy Pertile, P.A.
• Abby Lynn Phalen
• Jacqueline B Phillips
• Ayana Pittman

• Family Medicine Physician in Morris, IL
• Providers in Morris, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.