Individual provider Active NPI

Jasmine Roland, FNP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1578167243
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209021100 Issued in IL
Practice address
839 W 79TH St
Chicago, IL 60620-2699
Phone
(312) 996-2000
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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 28226058A IN
Family Nurse Practitioner 363LF0000X 209021100 IL Primary

Addresses

Primary practice location

839 W 79TH St
Chicago, IL 60620-2699

Mailing address

839 W 79TH St
Chicago, IL 60620-2699
Phone (312) 996-2000

Other practice location 1

1500 US Highway 41
Schererville, IN 46375-1316
Phone (219) 440-7373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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
I20210301001934 IN Practitioner - Nurse Practitioner 0840606760 Reassigns benefits to 4 organizations
I20220705002387 IL Practitioner - Nurse Practitioner 0840606760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Express Care 4 LLCGroup PAC ID 4284909615, 64 clinicians
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

31 E Sibley St
Suite a
Hammond, IN 46320-1725
Phone (219) 802-8800

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

Hospital & facility affiliations

  • University of Illinois Hospital and Clinics Hospital, Chicago, IL, CCN 140150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209021100ILMDFamily Nurse Practitioner
28226058AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Mar 10, 2025 Accepting new patients
Midwest Express Care 2, Inc CurrentSince May 25, 2022 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Jan 4, 2021 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 10, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Midwest Express Care 2, Inc CurrentSince May 25, 2022 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Jan 4, 2021 Accepting new patients
Nwi Urgent Care, LLC CurrentSince May 25, 2022 Accepting new patients
Board of Trustees of the University of Illinois Past Accepting new patients

Locations

2070 N State Route 50
Ste 500
Bourbonnais, IL 60914
Phone (779) 236-4094

1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261

641 W 63rd St
Chicago, IL 60621
Phone (312) 413-4070

7702 Solution Ctr
Chicago, IL 60677

27350 Network Pl
Chicago, IL 60673

839 W 79th St
Chicago, IL 60620
Phone (312) 492-1220

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

129 E 107th Ave
Crown Point, IN 46307
Phone (219) 662-4134

2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

6121 Cleveland St
Merrillville, IN 46410
Phone (219) 738-5985

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

Interoperability endpoints

  • Direct secure messaging: jroland25366@uihealth.direct-ci.com

Organizations & group practices 11

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 1

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": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1578167243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606202699",
            "telephone_number": "312-996-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606202699",
            "telephone_number": "312-996-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 US Highway 41",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "463751316",
            "country_code": "US",
            "telephone_number": "219-440-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLAND",
        "first_name": "JASMINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28226058A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.