Active NPI
Jordon W. Thomsen, PA-C
- Physician Assistant
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085007859
- Practice address
- 2650 Ridge Ave
Evanston, IL 60201-1700 - Phone
- (847) 570-2023
- NPI assigned
- Jul 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4556-23 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 085007859 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave
Evanston, IL 60201-1700
Mailing address
2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (847) 570-2040
Other practice location 1
6308 8th Ave
Kenosha, WI 53143-5031
Phone (414) 290-6720
Other practice location 2
734 2nd Ave NW
Valley City, ND 58072-2506
Phone (701) 840-1565
Other practice location 3
9555 76th St
Pleasant Prairie, WI 53158-1984
Phone (414) 290-6720
Other practice location 4
5145 N California Ave
Chicago, IL 60625-3661
Phone (847) 570-1027
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Oak Ave
Evanston, IL 60201-4205
Phone (847) 869-1300
2100 Pfingsten Rd
Glenview, IL 60026-1301
2650 Ridge Ave
Evanston, IL 60201-1700
9600 Gross Point Rd
Skokie, IL 60076-1214
Hospital & facility affiliations
- Northshore University Healthsystem - Evanston Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085007859 | IL | MD | Physician Assistant |
| 4556-23 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Inpatient Consultants of Illinois, P.C. | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients |
Locations
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Hospitalist Physician
- Hinsdale, IL
- NPI 1548442569
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Hospitalist Physician
- Hinsdale, IL
- NPI 1609821628
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1447746805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE STE 1223",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-570-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-570-2023"
}
],
"practiceLocations": [
{
"address_1": "6308 8th Ave",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531435031",
"country_code": "US",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "734 2nd Ave NW",
"address_purpose": "LOCATION",
"city": "Valley City",
"state": "ND",
"postal_code": "580722506",
"country_code": "US",
"telephone_number": "701-840-1565",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9555 76th St",
"address_purpose": "LOCATION",
"city": "Pleasant Prairie",
"state": "WI",
"postal_code": "531581984",
"country_code": "US",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5145 N California Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606253661",
"country_code": "US",
"telephone_number": "847-570-1027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMSEN",
"first_name": "JORDON",
"middle_name": "W.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-09",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "4556-23",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085007859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.