Active NPI
Jessalyn N Rashid
- Physician Assistant
- Chicago, IL
National Provider Identifier
1235680877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085006155
- Practice address
- 635 N Dearborn St
Chicago, IL 60654-4618 - Phone
- (312) 694-2273
- Fax
- (312) 694-2129
- NPI assigned
- Oct 19, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3916 | WI | |
| Physician Assistant | 363A00000X | 085006155 | IL | Primary |
Addresses
Primary practice location
635 N Dearborn St
Chicago, IL 60654-4618
Mailing address
635 N Dearborn St
Chicago, IL 60654-4618
Phone (312) 694-2273
Other practice location 1
N2934 Hwy 22 N
Wautoma, WI 54982-5802
Phone (920) 787-4613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 97.16
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3916 | WI | MD | Professional Counselor |
| 085006155 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
Organizations & group practices 2
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.
-
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
-
- Medicare Defined Swing Bed Hospital Unit
- Medford, WI
- NPI 1427105923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1235680877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 N DEARBORN ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606544618",
"telephone_number": "312-694-2273",
"fax_number": "312-694-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 N DEARBORN ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606544618",
"telephone_number": "312-694-2273",
"fax_number": "312-694-2129"
}
],
"practiceLocations": [
{
"address_1": "N2934 Hwy 22 N",
"address_purpose": "LOCATION",
"city": "Wautoma",
"state": "WI",
"postal_code": "549825802",
"country_code": "US",
"telephone_number": "920-787-4613",
"fax_number": "920-787-5433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RASHID",
"first_name": "JESSALYN",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3916",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085006155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.