Individual provider Active NPI

Jennifer A. Spangler, APN-CNP

  • Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1255803052
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209018335 Issued in IL
Practice address
9600 Gross Point Rd Ste 1200
Skokie, IL 60076-1214
Phone
(847) 866-7846
Fax
(224) 251-5150
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209018335 IL Primary

Addresses

Primary practice location

9600 Gross Point Rd Ste 1200
Skokie, IL 60076-1214

Mailing address

9600 Gross Point Rd Ste 1200
Skokie, IL 60076-1214
Phone (847) 866-7846

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jspangler280581@direct.northshore.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226000173 IL Practitioner - Nurse Practitioner 3173862844 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Suite 2218a
Evanston, IL 60201-1700
Phone (847) 503-4222

Hospital & facility affiliations

  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Mar 12, 2021 Accepting new patients
Edward Health Ventures Nurse Practitioner CurrentSince Jul 10, 2023 Accepting new patients
Dupage Medical Group LTD CurrentSince Mar 11, 2019 Accepting new patients
Dupage Medical Group LTD CurrentSince Mar 11, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Mar 12, 2021 Accepting new patients
Edward Health Ventures CurrentSince Jul 10, 2023 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

9532 Eagle Way
Chicago, IL 60678

133 E Brush Hill Rd
Ste 100
Elmhurst, IL 60126
Phone (630) 501-0630

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

1331 W 75th St
Naperville, IL 60540
Phone (630) 527-7205

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

9600 Gross Point Rd
Ste 1200
Skokie, IL 60076
Phone (847) 503-4500

25 N Winfield Rd
Ste 300
Winfield, IL 60190
Phone (630) 933-8100

Interoperability endpoints

  • Direct secure messaging: jspangler253480@direct.edward.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1255803052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 GROSS POINT RD STE 1200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761214",
            "telephone_number": "847-866-7846",
            "fax_number": "224-251-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 GROSS POINT RD STE 1200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761214",
            "telephone_number": "847-866-7846",
            "fax_number": "224-251-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGLER",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209018335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jspangler280581@direct.northshore.org",
            "affiliation": "N",
            "address_1": "9600 Gross Point Rd Ste 1200",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600761214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.