Individual provider Active NPI

Jennifer Huston, FNP-BC, APRN-FPA, CN

  • Family Nurse Practitioner
  • South Elgin, IL
National Provider Identifier
1619416658
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.000499 Issued in IL
Practice address
107 S McLean Blvd Ste B
South Elgin, IL 60177-1822
Phone
(847) 695-9900
Fax
(847) 695-9989
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 277000499 IL
Family Nurse Practitioner 363LF0000X 277.000499 IL Primary

Addresses

Primary practice location

107 S McLean Blvd Ste B
South Elgin, IL 60177-1822

Mailing address

260 E Congress Pkwy Ste a
Crystal Lake, IL 60014-6235
Phone (815) 477-0300

Other practice location 1

260 E Congress Pkwy Ste A
Crystal Lake, IL 60014-6235
Phone (815) 477-0300

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
I20200820000915 IL Practitioner - Nurse Practitioner 7214353226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

260 E Congress Pkwy
Crystal Lake, IL 60014-6235
Phone (815) 477-0300

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277.000499ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Oct 13, 2024 Accepting new patients
Thrive OB SC CurrentSince Dec 7, 2020 Accepting new patients
Next Generation Pediatrics, L.L.C. CurrentSince Oct 29, 2023 Accepting new patients
Central Dupage Physician Group CurrentSince Oct 13, 2024 Accepting new patients
Fertility & Reproductive Endocrinology Specialists Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

260 E Congress Pkwy
Crystal Lake, IL 60014
Phone (815) 477-0300

260 E Congress Pkwy
Ste A
Crystal Lake, IL 60014
Phone (815) 477-0300

27750 W Il Route 22
Ste 120
Lake Barrington, IL 60010
Phone (847) 277-0500

4309 W Medical Center Dr
Ste B202
McHenry, IL 60050
Phone (815) 344-3900

107 S McLean Blvd
Ste B
South Elgin, IL 60177
Phone (847) 695-9900

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 5

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 3

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1619416658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E CONGRESS PKWY STE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146235",
            "telephone_number": "815-477-0300",
            "fax_number": "815-477-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S MCLEAN BLVD STE B",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771822",
            "telephone_number": "847-695-9900",
            "fax_number": "847-695-9989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 E Congress Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600146235",
            "country_code": "US",
            "telephone_number": "815-477-0300",
            "fax_number": "815-477-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "JENNIFER",
        "credential": "FNP-BC, APRN-FPA, CN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277000499",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.000499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

Verify at the official NPI Registry.