Individual provider Active NPI

Jamie C Price, PA-C

  • Physician Assistant
  • Huntley, IL
National Provider Identifier
1487631958
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085002915 Issued in IL
Practice address
10350 Haligus Rd Ste a
Huntley, IL 60142-9545
Phone
(815) 338-6600
Fax
(847) 802-7162
NPI assigned
Dec 27, 2005
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085002915 IL Primary

Addresses

Primary practice location

10350 Haligus Rd Ste a
Huntley, IL 60142-9545

Mailing address

10350 Haligus Rd Ste a
Huntley, IL 60142-9545
Phone (815) 338-6600

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
I20170705001466 IL Practitioner - Physician Assistant 3577465350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

10350 Haligus Rd
Huntley, IL 60142-9545

11475 N 2ND St
Machesney Park, IL 61115-1285
Phone (815) 654-8000

1663 Belvidere Rd
Belvidere, IL 61008-9306
Phone (815) 544-0040

1840 N Richmond Rd
McHenry, IL 60051-5416
Phone (779) 704-3075

2701 Patriot Blvd
Glenview, IL 60026-8039
Phone (847) 998-9910

3475 S Alpine Rd
Rockford, IL 61109-2604
Phone (815) 874-8000

360 Station Dr
Crystal Lake, IL 60014-7978
Phone (815) 788-7500

416 S Milwaukee Ave
Libertyville, IL 60048-2821
Phone (847) 979-1112

4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000

515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870

6595 E State St
Rockford, IL 61108-2542
Phone (815) 226-1300

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001232CTMDSocial Worker
001387CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Jun 26, 2023 Accepting new patients
Central Dupage Physician Group Past Accepting new patients
Hartford Physician Services PC Physician Assistant Past Accepting new patients

Locations

820 S State Route 59
Bartlett, IL 60103
Phone (630) 213-9600

820 S State Route 59
Ste A
Bartlett, IL 60103
Phone (630) 483-5930

Dept 5777
Carol Stream, IL 60122

1135 S Delano Ct E
Ste B201
Chicago, IL 60605
Phone (312) 694-2500

1630 Sherman Ave
Ste 130
Evanston, IL 60201
Phone (224) 271-4400

10350 Haligus Rd
Ste A
Huntley, IL 60142
Phone (815) 455-6100

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1487631958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429545",
            "telephone_number": "815-338-6600",
            "fax_number": "847-802-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10350 HALIGUS RD STE A",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429545",
            "telephone_number": "815-338-6600",
            "fax_number": "847-802-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JAMIE",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

Verify at the official NPI Registry.