Jenssen Parungao, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085004020 Issued in IL

Practice address

2285 Sequoia Dr
C/O Dreyer Clinic Inc.
Aurora, IL 60506-6209

Phone

(630) 859-6700

NPI assigned

May 8, 2013

Last updated

Nov 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jparungao205563@direct.myadvocateaurora.org

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1548605132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 SEQUOIA DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605066222",
            "telephone_number": "630-859-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 SEQUOIA DR",
            "address_2": "C/O DREYER CLINIC INC.",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605066209",
            "telephone_number": "630-859-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARUNGAO",
        "first_name": "JENSSEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jparungao205563@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "2285 Sequoia Dr",
            "address_2": "c/o Dreyer Clinic Inc.",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605066209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2285 Sequoia Dr",
            "address_2": "c/o Dreyer Clinic Inc.",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605066209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cristal Lyn Parsons, PHARMD
• Morgan Parsons
• Barbara J Partida, CRNA
• Dianne Rose Partipilo, LCPC
• Elizabeth Ann Partyka
• Regina Pascual, OTR/L
• Alkesh P Patel, R.PH
• Ankur J Patel, M.D.
• Bharti K Patel, MD
• Dhara S Patel, MSN, FNP-BC

• Physician Assistant in Aurora, IL
• Providers in Aurora, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.