Active NPI
Jada H. Hansberry, PA-C
- Physician Assistant
- Morton Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085003760
- Practice address
- 9300 Waukegan Road
Morton Grove, IL 60053 - Phone
- (847) 675-3900
- Fax
- (847) 675-3930
- NPI assigned
- Jun 28, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085003760 | IL | Primary |
Addresses
Primary practice location
9300 Waukegan Road
Morton Grove, IL 60053
Mailing address
2361 Paysphere Circle
Chicago, IL 60067
Phone (800) 322-9183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085003760 | Other | IL | STATE LICENCE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2520 Elisha Ave
Zion, IL 60099-2676
Phone (847) 872-4561
9300 Waukegan Rd
Morton Grove, IL 60053-1312
Phone (847) 675-3900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.5 of 100
- Quality
- 74.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.56
Merit-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
- 75.05 of 100
- Quality
- 68.45
- Promoting interoperability
- 100
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085003760 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients | |
| Endeavor Health Clinical Operations | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2050 Pfingsten Rd
Ste 128
Glenview, IL 60026
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
Interoperability endpoints
- jhansberry185926@cityofhope.direct-ci.com
Organizations & group practices 5
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.
-
- Specialist
- Zion, IL
- NPI 1548258072
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
dba Endeavor Health Highland Park Hospital
- Psychiatric Hospital Unit
- Highland Park, IL
- NPI 1770527236
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Endeavor Health Evanston Hospital
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
dba City of Hope Cancer Center Chicago
- General Acute Care Hospital
- Zion, IL
- NPI 1811984388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1326359100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2361 PAYSPHERE CIRCLE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60067",
"telephone_number": "800-322-9183",
"fax_number": "847-535-8109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 WAUKEGAN ROAD",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "60053",
"telephone_number": "847-675-3900",
"fax_number": "847-675-3930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSBERRY",
"first_name": "JADA",
"middle_name": "H.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2025-03-19",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085003760",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "085003760",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.