Individual provider Active NPI

Jamie Elizabeth Bloechl, APRN, CNP

  • Nurse Practitioner
  • Bloomingdale, IL
National Provider Identifier
1316343098
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209012099 Issued in IL
Practice address
245 S Gary Ave Ste 100
Bloomingdale, IL 60108-2200
Phone
(630) 933-4550
Fax
(630) 933-2200
NPI assigned
Nov 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209.012099 IL
Nurse Practitioner 363L00000X 209012099 IL Primary

Addresses

Primary practice location

245 S Gary Ave Ste 100
Bloomingdale, IL 60108-2200

Mailing address

245 S Gary Ave Ste 100
Bloomingdale, IL 60108-2200
Phone (630) 933-4550

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
I20150421001641 IL Practitioner - Nurse Practitioner 7416275557 Reassigns benefits to 2 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

Practice addresses (Care Compare)

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209012099ILMDNurse Practitioner
209.012099ILMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rush University Medical Group CurrentSince Jan 14, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Feb 3, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Feb 3, 2025 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

245 S Gary Ave
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-4009

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1725 W Harrison St
Ste 855
Chicago, IL 60612
Phone (312) 563-2320

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

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.

Hospital & facility affiliations 8

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": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1316343098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S GARY AVE STE 100",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082200",
            "telephone_number": "630-933-4550",
            "fax_number": "630-933-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S GARY AVE STE 100",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082200",
            "telephone_number": "630-933-4550",
            "fax_number": "630-933-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOECHL",
        "first_name": "JAMIE",
        "middle_name": "ELIZABETH",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209.012099",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209012099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

Verify at the official NPI Registry.