Individual provider Active NPI

Jasmine Marie Walton, M.D.

  • Family Medicine Physician
  • Wheaton, IL
National Provider Identifier
1427324201
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036138797 Issued in IL
Practice address
7 Blanchard Cir Ste 102
Wheaton, IL 60189-2038
Phone
(630) 682-0500
Fax
(630) 682-1078
NPI assigned
Mar 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 036138797 IL Primary

Addresses

Primary practice location

7 Blanchard Cir Ste 102
Wheaton, IL 60189-2038

Mailing address

7 Blanchard Cir Ste 102
Wheaton, IL 60189-2038
Phone (630) 682-0500

Other practice location 1

3433 W Madison St
Chicago, IL 60624-2895
Phone (773) 242-2299

Other practice location 2

1401 Western Ave
Chicago Heights, IL 60411-3147
Phone (708) 292-7000

Other identifiers 1

IdentifierTypeStateIssuer
F400237541OtherILMEDICARE PTAN

Other names 1

  • Jasmine Marie Carter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1427324201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BLANCHARD CIR STE 102",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892038",
            "telephone_number": "630-682-0500",
            "fax_number": "630-682-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BLANCHARD CIR STE 102",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892038",
            "telephone_number": "630-682-0500",
            "fax_number": "630-682-1078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3433 W Madison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606242895",
            "country_code": "US",
            "telephone_number": "773-242-2299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago Heights",
            "state": "IL",
            "postal_code": "604113147",
            "country_code": "US",
            "telephone_number": "708-292-7000",
            "fax_number": "708-887-5874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "JASMINE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036138797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "F400237541",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "CARTER",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.