Individual provider Active NPI

Jessie Mae Monroe, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1437831682
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023036457 Issued in IL
Practice address
727 W Madison St Apt 803
Chicago, IL 60661-2400
Phone
(510) 258-8313
NPI assigned
Aug 7, 2023
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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 2023036457 IL Primary

Addresses

Primary practice location

727 W Madison St Apt 803
Chicago, IL 60661-2400

Mailing address

727 W Madison St Apt 803
Chicago, IL 60661-2400
Phone (510) 258-8313

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240716002319 IL Practitioner - Nurse Practitioner 4385189299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vohra Wound Physicians of Il SCGroup PAC ID 9830377688, 20 clinicians

Practice addresses (Care Compare)

0 N801 Friendship Way
Geneva, IL 60134-6206
Phone (630) 578-6500

7370 W Talcott Ave
Chicago, IL 60631-3751
Phone (877) 866-7123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023036457ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of Il, S.C. CurrentSince Jun 3, 2024 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

7370 W Talcott Ave
Chicago, IL 60631
Phone (312) 783-3348

1431 Opus Pl
Ste 110
Downers Grove, IL 60515
Phone (630) 895-2051

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2474/brand/3/csg/81/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1437831682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 W MADISON ST APT 803",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612400",
            "telephone_number": "510-258-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 W MADISON ST APT 803",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612400",
            "telephone_number": "510-258-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "JESSIE",
        "middle_name": "MAE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "2023036457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.