Individual provider Active NPI

Stephanie Jimenez, APRN FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1437973435
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.030611 Issued in IL
Practice address
1349 N Western Ave
Chicago, IL 60622-8316
Phone
(773) 384-8584
Fax
(866) 777-2763
NPI assigned
Nov 14, 2024
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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 209.030611 IL Primary

Addresses

Primary practice location

1349 N Western Ave
Chicago, IL 60622-8316

Mailing address

1349 N Western Ave
Chicago, IL 60622-8316
Phone (773) 384-8584

Other practice location 1

840 W Irving Park Rd Ste 201
Chicago, IL 60613-3011
Phone (773) 878-6600

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
I20251107002371 IL Practitioner - Nurse Practitioner 8527558543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7348 N Winchester Ave
Unit B
Chicago, IL 60626-1509

7348 N Winchester Ave Unit B
Chicago, IL 60626-1509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.030611ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cam Medical Group S.C. CurrentSince Jul 31, 2025 Accepting new patients

Locations

840 W Irving Park Rd
Ste 201
Chicago, IL 60613
Phone (773) 878-6600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8544/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephanie.jimenez.1@8544.direct.athenahealth.com

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": "1731542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1437973435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228316",
            "telephone_number": "773-384-8584",
            "fax_number": "866-777-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228316",
            "telephone_number": "773-384-8584",
            "fax_number": "866-777-2763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 W Irving Park Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606133011",
            "country_code": "US",
            "telephone_number": "773-878-6600",
            "fax_number": "866-777-2763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "STEPHANIE",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-14",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.030611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.