Active NPI
Jennifer C Nieves, FNP-C
- Adult Health Nurse Practitioner
- Long Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209013566
- Practice address
- 3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292 - Phone
- (847) 719-2220
- Fax
- (847) 719-2265
- NPI assigned
- Dec 30, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209013566 | IL | |
| Adult Health Nurse Practitioner | 363LA2200X | 209013566 | IL | Primary |
| Nurse Practitioner | 363L00000X | 209013566 | IL |
Addresses
Primary practice location
3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292
Mailing address
3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292
Phone (847) 719-2220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MN3825849 | Other | IL | DEA |
| 209013566 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sublung@380.direct.myezyaccess.com |
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
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3880 Salem Lake Dr
Suite F
Long Grove, IL 60047-5292
Phone (847) 719-2220
Hospital & facility affiliations
- Angels Home Care Agency Inc
- Advocate Good Shepherd Hospital
- Northwestern Medicine McHenry
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209013566 | IL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Practices Inpatient Care,LTD | Current | Accepting new patients | |
| Crystal Lake Immediate Care Physicians LTD. | Current | Accepting new patients | |
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Best Practices Inpatient Care, LTD. | Current | Accepting new patients | |
| Alexian Brothers Medical Care Group NFP | Past | Accepting new patients | |
| Hospital Medicine Consultants LLC | Past | Accepting new patients |
Locations
800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150
106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220
1663 Belvidere Rd
Belvidere, IL 61008
Phone (815) 544-0040
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
525 E Congress Pkwy
Ste 100
Crystal Lake, IL 60014
Phone (626) 327-6795
2490 Bushwood Dr
Elgin, IL 60124
Phone (224) 293-5200
800 Biesterfield Rd
Ste 510
Elk Grove Vlg, IL 60007
Phone (847) 981-3360
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220
450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Barrington, IL
- NPI 1619913522
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Emergency Medicine Physician
- Crystal Lake, IL
- NPI 1538517198
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1417240946
-
- Pulmonary Disease Physician
- Elk Grove Village, IL
- NPI 1518420413
-
- Hospitalist Physician
- Elgin, IL
- NPI 1831424936
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- Home Health Agency
- Miramar, FL
- NPI 1710135587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765065600000",
"number": "1457716730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 SALEM LAKE DR STE F",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600475292",
"telephone_number": "847-719-2220",
"fax_number": "847-719-2265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 SALEM LAKE DR STE F",
"city": "LONG GROVE",
"state": "IL",
"postal_code": "600475292",
"telephone_number": "847-719-2220",
"fax_number": "847-719-2265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "JENNIFER",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-30",
"last_updated": "2025-12-07",
"certification_date": "2025-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209013566",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209013566",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209013566",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEA",
"identifier": "MN3825849",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209013566",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sublung@380.direct.myezyaccess.com",
"affiliation": "N",
"address_1": "800 Biesterfield Rd Ste 510",
"city": "Elk Grove Village",
"state": "IL",
"country_code": "US",
"postal_code": "600073367",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Long Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.