Individual provider Active NPI

Jennifer E Bernstein, DPM

  • Primary Podiatric Medicine Podiatrist
  • Libertyville, IL
National Provider Identifier
1407296171
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
016005699 Issued in IL
Practice address
1900 Hollister Dr Ste 160
Libertyville, IL 60048-5227
Phone
(847) 250-9096
Fax
(847) 390-9345
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 107725 WI
Primary Podiatric Medicine Podiatrist 213EP1101X 016005699 IL Primary

Addresses

Primary practice location

1900 Hollister Dr Ste 160
Libertyville, IL 60048-5227

Mailing address

1660 Feehanville Dr Ste 450
Mount Prospect, IL 60056-6023
Phone (847) 250-9096

Other practice location 1

10105 74th St Ste 101
Kenosha, WI 53142-7530
Phone (847) 250-9096

Other practice location 2

800 N Westmoreland Rd
Suite 200
Lake Forest, IL 60045-1673
Phone (847) 390-7666

Other practice location 3

2101 Waukegan Rd Ste 203
Bannockburn, IL 60015-1836
Phone (847) 250-9096

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jeb@weil.emadirect.md Direct
Direct Messaging Address jeb@weil.emadirect.md Direct
Direct Messaging Address jeb@weil.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160525001192 IL Practitioner - Podiatry 0345539797 Reassigns benefits to 1 organization
I20160802003042 WI Practitioner - Podiatry 0345539797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weil Foot and Ankle Institute LLCGroup PAC ID 4587655105, 56 clinicians
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

1660 Feehanville Dr
Suite 450
Mount Prospect, IL 60056-6019

1660 Feehanville Dr
Suite 450
Mount Prospect, IL 60056-6023

2101 Waukegan Rd
Suite 203
Bannockburn, IL 60015-1836
Phone (847) 390-7666

8500 75TH St
Suite 105
Kenosha, WI 53142-8213
Phone (847) 994-4195

9809 39TH Ave
Pleasant Prairie, WI 53158-3733
Phone (262) 925-5080

Hospital & facility affiliations

  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130
  • Aurora Medical Center Kenosha Hospital, Kenosha, WI, CCN 520189
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

Merit-based Incentive Payment System (MIPS)

Final score
71.69 of 100Reported as individual
Quality
49.61
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue448
Removal of skin lesions36
Removal of nail tissue229
Removal or shaving of skin growth93
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107725WIMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weil Foot and Ankle Institute LLC CurrentSince Jul 1, 2016 Accepting new patients
Weil Foot and Ankle Institute LLC Current Accepting new patients
Weil Foot and Ankle Institute LLC Primary Podiatric Medicine CurrentSince Jul 1, 2016 Accepting new patients
Weil Foot & Ankle Institute Past Accepting new patients

Locations

2101 Waukegan Rd
Ste 203
Bannockburn, IL 60015
Phone 8473907666 ext. 6239

1455 E Golf Rd
Des Plaines, IL 60016
Phone 8473907666213

1455 E Golf Rd
Ste 110
Des Plaines, IL 60016
Phone 84739076666205

800 N Westmoreland Rd
Ste 200
Lake Forest, IL 60045
Phone (224) 271-5400

1900 Hollister Dr
Ste 160
Libertyville, IL 60048
Phone (847) 772-2204

1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629

1660 Feehanville Dr
Ste 100
Mt Prospect, IL 60056
Phone (847) 627-4924

8500 75th St
Ste 105
Kenosha, WI 53142
Phone (847) 994-4195

8500 75th St
Kenosha, WI 53142
Phone (262) 653-2260

10105 74th St
Ste 101
Kenosha, WI 53142
Phone (262) 697-5056

Interoperability endpoints

  • Direct secure messaging: jbernstein181234@direct.myadvocateaurora.org

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 4

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1407296171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 450",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566023",
            "telephone_number": "847-250-9096",
            "fax_number": "847-390-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HOLLISTER DR STE 160",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485227",
            "telephone_number": "847-250-9096",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10105 74th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531427530",
            "country_code": "US",
            "telephone_number": "847-250-9096",
            "fax_number": "847-390-9345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 N Westmoreland Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451673",
            "country_code": "US",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Waukegan Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bannockburn",
            "state": "IL",
            "postal_code": "600151836",
            "country_code": "US",
            "telephone_number": "847-250-9096",
            "fax_number": "847-390-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WI",
            "license": "107725",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "IL",
            "license": "016005699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeb@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2101 Waukegan Rd Ste 203",
            "city": "Bannockburn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600151836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeb@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10105 74th St Ste 101",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531427530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeb@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1900 Hollister Dr Ste 160",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600485227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.