Jincy Eapen

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209021007 Issued in IL

Practice address

50 Glendale St
Wheeling, IL 60090-2932

Phone

(847) 912-9670

NPI assigned

Mar 10, 2020

Last updated

Mar 10, 2020By 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

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FMGC SCGroup PAC ID 8325142771, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• FMGC, S.C.

  • Gastroenterology Physician
  • Addison, IL
  • NPI 1578691846
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1588299598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GLENDALE ST",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902932",
            "telephone_number": "847-912-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GLENDALE ST",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600902932",
            "telephone_number": "847-912-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAPEN",
        "first_name": "JINCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Anthony Spitz,DPM,PC
• Dr. Joseph Family Dental PLLC (Alto Dental)
• Dr. TJ Kehoe, LTD (Pulmonary Sleep Medicine)
• Viviana R Duce, D.D.S.
• Denise Duncan
• East West Internal Medicine Associates, P.C.
• Melissa Ham Echavez, M.A., CCC-SLP
• Brittany Eikleberry
• Lila Dana Elman, M.D
• Emily Chatskis MD PC

• Family Nurse Practitioner in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.