Individual provider Active NPI

Jeffrey Peyton Webb, APN

  • Nurse Practitioner
  • New Lenox, IL
National Provider Identifier
1558826735
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209018729 Issued in IL
Practice address
1890 Silver Cross Blvd Ste 240
New Lenox, IL 60451-9528
Phone
(815) 740-1900
NPI assigned
Feb 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.018729 IL
Nurse Practitioner 363L00000X 209018729 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd Ste 240
New Lenox, IL 60451-9528

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0018
Phone (630) 469-9200

Other identifiers 1

IdentifierTypeStateIssuer
209.018729OtherILSTATE LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jwebb227517@direct.edward.org
Direct Messaging Address jpwebb227517@dulyhealthandcare.direct-ci.com

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
I20190223000085 IL Practitioner - Nurse Practitioner 1658610332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Candr Medical Group SCGroup PAC ID 0143387431, 9 clinicians

Practice addresses (Care Compare)

1890 Silver Cross Blvd
Suite 570
New Lenox, IL 60451-9606
Phone (815) 463-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.018729ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
C&R Medical Group SC CurrentSince Nov 7, 2022 Accepting new patients

Locations

1890 Silver Cross Blvd
Ste 570
New Lenox, IL 60451
Phone (815) 463-3700

Interoperability endpoints

  • Direct secure messaging: jwebb160829@direct.rush.rush-health.com
  • Direct secure messaging: jpwebb227517@dulyhealthandcare.direct-ci.com

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.

Hospital & facility affiliations 4

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": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1558826735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 240",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519528",
            "telephone_number": "815-740-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JEFFREY",
        "middle_name": "PEYTON",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-01",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.018729",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209018729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "209.018729",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwebb227517@direct.edward.org",
            "affiliation": "N",
            "address_1": "1890 Silver Cross Blvd Ste 240",
            "city": "New Lenox",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604519528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpwebb227517@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "1890 Silver Cross Blvd Ste 240",
            "city": "New Lenox",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604519528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.