Individual provider Active NPI

Jennifer Lynn Rachan

  • Family Nurse Practitioner
  • St Charles, IL
National Provider Identifier
1548812258
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018274 Issued in IL
Practice address
2455 Dean St Ste a&B
St Charles, IL 60175-4830
Phone
(630) 208-7388
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209018274 IL Primary

Addresses

Primary practice location

2455 Dean St Ste a&B
St Charles, IL 60175-4830

Mailing address

PO Box 7630
Gurnee, IL 60031-7002
Phone (847) 244-6320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.21 of 100Reported as group
Quality
67.65
Promoting interoperability
99
Improvement activities
40
Cost
80.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209018274ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Illinois Gastroenterology Group, LLC CurrentSince Aug 5, 2019 Accepting new patients
Elgin Gastroenterology SC Current Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients

Locations

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

2455 Dean St
Ste Ab
St Charles, IL 60175
Phone (630) 208-7388

2320 Dean St
Ste 201
St Charles, IL 60175
Phone (630) 232-4994

Organizations & group practices 4

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1548812258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7630",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600317002",
            "telephone_number": "847-244-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 DEAN ST STE A&B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601754830",
            "telephone_number": "630-208-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.