Active NPI
Jayci Nicole Dubik, NP-C
- Nurse Practitioner
- La Grange Highlands, IL
National Provider Identifier
1477081263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209016008
- Practice address
- 5201 Willow Springs Rd Ste 110
La Grange Highlands, IL 60525-6504 - Phone
- (708) 482-4500
- NPI assigned
- May 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209016008 | IL | Primary |
Addresses
Primary practice location
5201 Willow Springs Rd Ste 110
La Grange Highlands, IL 60525-6504
Mailing address
5201 Willow Springs Road
Suite 110
Lagrange, IL 60525
Phone (708) 482-4500
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170828001628 | IL | Practitioner - Nurse Practitioner | 4981973591 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chicago Spine and Joint, S.C.
Practice addresses (Care Compare)
907 N Elm St
Suite 101
Hinsdale, IL 60521-3644
Phone (708) 482-4500
Hospital & facility affiliations
- Morris Hospital & Healthcare Centers
- Osf Saint Elizabeth MDL Ctr
- Osf Saint Clare Medical Center
- Osf Saint Paul Medical Center
- Silver Cross Hospital and Medical Centers
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.02 of 100
- Quality
- 59.26
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Spine and Joint, S.C. | Single Specialty | Past | Accepting new patients |
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.
-
- Pain Medicine (Anesthesiology) Physician
- New Lenox, IL
- NPI 1255956777
Single Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
Hospital
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
Hospital
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477081263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 WILLOW SPRINGS ROAD",
"address_2": "SUITE 110",
"city": "LAGRANGE",
"state": "IL",
"postal_code": "60525",
"telephone_number": "708-482-4500",
"fax_number": "708-482-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 WILLOW SPRINGS RD STE 110",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605256504",
"telephone_number": "708-482-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBIK",
"first_name": "JAYCI",
"middle_name": "NICOLE",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209016008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grange Highlands, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.