Esra Kezban Jozwiak

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209.020537 Issued in IL

Practice address

222 S Greenleaf St Ste 112
Gurnee, IL 60031-5705

Phone

(847) 336-8472

NPI assigned

Feb 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nova Med Care LTDGroup PAC ID 4284010216, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: esra.jozwiak@488695864426500.direct.elationemr.com

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.

• Nova Med Care LTD

  • Urgent Care Clinic/Center
  • Mount Prospect, IL
  • NPI 1952038317
  Medicare reassignment Care Compare group NPD
• Nova Med Womens Care PLLC

  • Obstetrics & Gynecology Physician
  • Mount Prospect, IL
  • NPI 1801516182
  Medicare reassignment NPD

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582416000000",
    "number": "1366076937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S GREENLEAF ST STE 112",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315705",
            "telephone_number": "847-336-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S GREENLEAF ST STE 112",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315705",
            "telephone_number": "847-336-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOZWIAK",
        "first_name": "ESRA",
        "middle_name": "KEZBAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.020537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin C Johnson, MD
• Ruth Ann Johnson, LCSW
• Gary R Jones, MD
• Ashley Joseph, OTR/L
• Josni Ann Joseph
• JRP Mental Health Services PLLC
• Judy Jung, RPH
• Katherine M Jung, NP
• K W Hunnemeder, DC PC
• K.a.M Alliance, Inc.

• Nurse Practitioner in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; 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.

Verify at the official NPI Registry.