Individual provider Active NPI

Jennifer P Florentino, FPA NP

  • Family Nurse Practitioner
  • Hanover Park, IL
National Provider Identifier
1245638014
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277-001401 Issued in IL
Practice address
5500 County Farm Rd
Hanover Park, IL 60133-5104
Phone
(800) 323-8622
Fax
(224) 225-0370
NPI assigned
Dec 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209012044 IL
Family Nurse Practitioner 363LF0000X 277-001401 IL Primary
Nurse Practitioner 363L00000X 23137 WI

Addresses

Primary practice location

5500 County Farm Rd
Hanover Park, IL 60133-5104

Mailing address

29373 Network PL
Chicago, IL 60673-1039
Phone (847) 390-5900

Other names 1

  • Jennifer Solares Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jflorentino204963@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, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150205000508 IL Practitioner - Nurse Practitioner 0749505212 Reassigns benefits to 1 organization
I20221214000083 WI Practitioner - Nurse Practitioner 0749505212 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

1441 Branding Ave
Downers Grove, IL 60515-5624
Phone (630) 829-1084

14555 W National Ave
Suite 140
New Berlin, WI 53151-4483
Phone (414) 649-1280

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

9555 S 52ND Ave
Oak Lawn, IL 60453-3054
Phone (708) 634-0950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277-001401ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Jun 1, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 2, 2017 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 2, 2017 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

5500 County Farm Rd
Hanover Park, IL 60133
Phone (224) 225-0250

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

14555 W National Ave
Ste 140
New Berlin, WI 53151
Phone (262) 827-0480

200 E Ryan Rd
Oak Creek, WI 53154
Phone (414) 570-3590

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

Interoperability endpoints

  • Direct secure messaging: jflorentino204963@direct.myadvocateaurora.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1245638014",
    "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": "606731039",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 COUNTY FARM RD",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335104",
            "telephone_number": "800-323-8622",
            "fax_number": "224-225-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORENTINO",
        "first_name": "JENNIFER",
        "middle_name": "P",
        "credential": "FPA NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-10",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012044",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277-001401",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "23137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jflorentino204963@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5500 County Farm Rd",
            "city": "Hanover Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601335104",
            "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": "5500 County Farm Rd",
            "city": "Hanover Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601335104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SOLARES",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hanover Park, IL

Sources for this page

Verify at the official NPI Registry.