Individual provider Active NPI

Jocelyn Collazo, APRN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1588477160
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209031181 Issued in IL
Practice address
1141 W Madison St Ste 2
Chicago, IL 60607-2048
Phone
(312) 877-5512
NPI assigned
Jan 28, 2025
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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 209031181 IL Primary

Addresses

Primary practice location

1141 W Madison St Ste 2
Chicago, IL 60607-2048

Mailing address

1141 W Madison St Ste 2
Chicago, IL 60607-2048
Phone (312) 877-5512

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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209031181ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Active Wellness LLC CurrentSince Dec 14, 2024 Accepting new patients
Active Wellness, LLC CurrentSince Dec 14, 2024 Accepting new patients

Locations

2514 N Milwaukee Ave
Chicago, IL 60647
Phone (312) 216-2452

4555 N Lincoln Ave
Chicago, IL 60625
Phone (773) 328-8153

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1588477160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W MADISON ST STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072048",
            "telephone_number": "312-877-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W MADISON ST STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072048",
            "telephone_number": "312-877-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "JOCELYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209031181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.