Active NPI
Jessica M Mendez, APRN,FNP-C
- Family Nurse Practitioner
- Chicago, IL
National Provider Identifier
1487125704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8902-33
- Practice address
- 200 S Wacker Dr FL 31
Chicago, IL 60606-5877 - Phone
- (866) 849-0692
- NPI assigned
- Dec 14, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 290397 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 0034241 | OH | |
| Family Nurse Practitioner | 363LF0000X | 277001872 | IL | |
| Family Nurse Practitioner | 363LF0000X | 8902-33 | WI | Primary |
Addresses
Primary practice location
200 S Wacker Dr FL 31
Chicago, IL 60606-5877
Mailing address
PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 S Milwaukee Ave
Suite 103
Lake Villa, IL 60046-9407
Phone (224) 215-6242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277001872 | IL | MD | Family Nurse Practitioner |
| 0034241 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Wellness, PLLC | Current | Accepting new patients |
Locations
50 S Milwaukee Ave
Ste 103
Lake Villa, IL 60046
Phone (224) 215-6242
50 S Milwaukee Ave
Lake Villa, IL 60046
Phone (224) 627-9155
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 and National Provider Directory roles.
-
- Nurse Practitioner
- Lake Villa, IL
- NPI 1437915337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1487125704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211699",
"city": "EAGAN",
"state": "MN",
"postal_code": "551213699",
"telephone_number": "866-849-0692",
"fax_number": "888-973-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S WACKER DR FL 31",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606065877",
"telephone_number": "866-849-0692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "JESSICA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "APRN,FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-14",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "290397",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0034241",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "277001872",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "8902-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.