Individual provider Active NPI

Jennifer Lynne Hemmer, FNP-C

  • Family Nurse Practitioner
  • Saint Charles, IL
National Provider Identifier
1528680360
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.004005 Issued in IL
Practice address
923 S Randall Rd
Saint Charles, IL 60174-1556
Phone
(630) 517-5788
NPI assigned
May 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 14759 WI
Family Nurse Practitioner 363LF0000X 14759 WI
Family Nurse Practitioner 363LF0000X 277.004005 IL Primary

Addresses

Primary practice location

923 S Randall Rd
Saint Charles, IL 60174-1556

Mailing address

29373 Network PL
Chicago, IL 60673-3516
Phone (847) 390-5900

Other practice location 1

11270 N Port Washington Rd
Mequon, WI 53092-3410
Phone (262) 241-1022

Other practice location 2

24801 W 135th St
Plainfield, IL 60544-5413
Phone (800) 323-8622

Other identifiers 1

IdentifierTypeStateIssuer
100264356MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address jhemmer335174@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201208002632 IL Practitioner - Nurse Practitioner 7113339508
I20240128000159 WI Practitioner - Nurse Practitioner 7113339508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277.004005ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Quick Care, LLC Nurse Practitioner CurrentSince Jan 26, 2024 Accepting new patients
Midwest Illinois Six Medical Group, PLLC Past Accepting new patients

Locations

11270 N Port Washington Rd
Mequon, WI 53092
Phone (262) 241-1022

9201 Washington Ave
Racine, WI 53406
Phone (262) 504-5471

Interoperability endpoints

  • Direct secure messaging: jhemmer335174@direct.myadvocateaurora.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1528680360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606733516",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 S RANDALL RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601741556",
            "telephone_number": "630-517-5788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11270 N Port Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530923410",
            "country_code": "US",
            "telephone_number": "262-241-1022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24801 W 135th St",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605445413",
            "country_code": "US",
            "telephone_number": "800-323-8622",
            "fax_number": "224-225-0356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEMMER",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "14759",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "14759",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.004005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264356",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "24801 W 135th St",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605445413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhemmer335174@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24801 W 135th St",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605445413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Charles, IL

Sources for this page

Verify at the official NPI Registry.