Individual provider Active NPI

Jeanne P. Perkins, AUD

  • Audiologist
  • Glen Ellyn, IL
National Provider Identifier
1407095854
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147-000227 Issued in IL
Practice address
487 Pennsylvania Ave
Glen Ellyn, IL 60137-4403
Phone
(630) 858-3277
Fax
(630) 858-6932
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 23001854A IN
Speech-Language Pathologist 235Z00000X 146-001437 IL
Audiologist 231H00000X 147-000227 IL Primary

Addresses

Primary practice location

487 Pennsylvania Ave
Glen Ellyn, IL 60137-4403

Mailing address

487 Pennsylvania Ave
Glen Ellyn, IL 60137-4403
Phone (630) 858-3277

Other practice location 1

501 Thornhill Dr Ste 100
Carol Stream, IL 60188-2793
Phone (630) 529-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180214002519 IL Practitioner - Qualified Audiologist 4385904267 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartman Hearing Group IncGroup PAC ID 7810239787, 6 clinicians

Practice addresses (Care Compare)

487 Pennsylvania Ave
Glen Ellyn, IL 60137-4403
Phone (630) 858-3277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147-000227ILMDAudiologist
23001854AINMDAudiologist
146-001437ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Century Audiology CurrentSince Aug 1, 2022 Accepting new patients
Hartman Hearing Group, Inc. Audiologist CurrentSince Mar 16, 2019 Accepting new patients
Hartman Hearing Group, Inc. Audiologist Past Accepting new patients
Hear-Mart, LLC Past Accepting new patients

Locations

501 Thornhill Dr
Ste 100
Carol Stream, IL 60188
Phone (630) 529-3277

487 Pennsylvania Ave
Glen Ellyn, IL 60137
Phone (630) 848-3277

2295 Essington Rd
Ste 102
Joliet, IL 60435
Phone (815) 782-8318

11041 Front St
Ste A
Mokena, IL 60448
Phone (708) 995-7256

16001 108th Ave
Orland Park, IL 60467
Phone (708) 460-0007

305 E Northwest Hwy
Palatine, IL 60067
Phone (847) 358-2896

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.

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1407095854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 PENNSYLVANIA AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374403",
            "telephone_number": "630-858-3277",
            "fax_number": "630-858-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 PENNSYLVANIA AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374403",
            "telephone_number": "630-858-3277",
            "fax_number": "630-858-6932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Thornhill Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carol Stream",
            "state": "IL",
            "postal_code": "601882793",
            "country_code": "US",
            "telephone_number": "630-529-3277",
            "fax_number": "630-858-6932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "JEANNE",
        "middle_name": "P.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23001854A",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-001437",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.