Individual provider Active NPI

Jennifer Offen, MS, RN, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1437588472
Registry record updated Apr 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014220 Issued in IL
Practice address
6150 N Broadway St
Chicago, IL 60660-2538
Phone
(773) 274-9337
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209014220 IL Primary

Addresses

Primary practice location

6150 N Broadway St
Chicago, IL 60660-2538

Mailing address

6150 N Broadway St
Chicago, IL 60660-2538
Phone (773) 274-9337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620001367 IL Practitioner - Nurse Practitioner 9739303330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Counseling and Wellness LLC CurrentSince Oct 15, 2024 Accepting new patients

Locations

386 N York St
Elmhurst, IL 60126
Phone (312) 213-7862

215 Harrison St
Oak Park, IL 60304
Phone (708) 628-8000

Organizations & group practices 1

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": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460160000000",
    "number": "1437588472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602538",
            "telephone_number": "773-274-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606602538",
            "telephone_number": "773-274-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFEN",
        "first_name": "JENNIFER",
        "credential": "MS, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2016-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.