Individual provider Active NPI

Jennifer Donoghue, APN

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1447620463
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209013358 Issued in IL
Practice address
600 W Cermak Rd
Suite 3D
Chicago, IL 60616-2268
Phone
(312) 427-6000
NPI assigned
Oct 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209013358 IL Primary

Addresses

Primary practice location

600 W Cermak Rd
Suite 3D
Chicago, IL 60616-2268

Mailing address

600 W Cermak Rd
Suite 3D
Chicago, IL 60616-2268
Phone (312) 427-6000

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
I20151221000343 IL Practitioner - Nurse Practitioner 3577864313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Hospice of Chicagoland LLCGroup PAC ID 0840210019, 19 clinicians

Practice addresses (Care Compare)

3232 S Martin Luther King Dr
Chicago, IL 60616-3924
Phone (312) 427-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Hospice of Chicagoland LLC CurrentSince Jun 25, 2023 Accepting new patients
Unity Hospice of Chicagoland LLC CurrentSince Nov 3, 2015 Accepting new patients

Locations

600 W Cermak Rd
Ste 3D
Chicago, IL 60616
Phone (312) 427-6000

3232 S King Dr
Chicago, IL 60616
Phone (866) 727-1539

4101 Main St
Skokie, IL 60076
Phone (312) 847-2458

Organizations & group practices 2

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": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1447620463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W CERMAK RD",
            "address_2": "SUITE 3D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162268",
            "telephone_number": "312-427-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W CERMAK RD",
            "address_2": "SUITE 3D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162268",
            "telephone_number": "312-427-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOGHUE",
        "first_name": "JENNIFER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209013358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.