Individual provider Active NPI

Jennifer L Schening, D.O

  • Pediatrics Physician
  • South Elgin, IL
National Provider Identifier
1619976560
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036104509 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
Jul 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036104509 IL Primary

Addresses

Primary practice location

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

Mailing address

107 S McLean Blvd
Ste B
South Elgin, IL 60177-1822
Phone (847) 695-9900

Other identifiers 2

IdentifierTypeStateIssuer
036104509MedicaidIL
4532261OtherILBCBS ID

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jschening287587@diract.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000328 IL Practitioner - Pediatric Medicine 2365345139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036104509ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moore Health SC Past Accepting new patients
Next Generation Pediatrics, L.L.C. Pediatrics PastSince Oct 29, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.schening.1@28727.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1619976560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S MCLEAN BLVD",
            "address_2": "STE B",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771822",
            "telephone_number": "847-695-9900",
            "fax_number": "847-695-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S MCLEAN BLVD",
            "address_2": "STE B",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771822",
            "telephone_number": "847-695-9900",
            "fax_number": "847-695-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENING",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036104509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036104509",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "4532261",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jschening287587@diract.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "107 S McLean Blvd",
            "address_2": "Ste B",
            "city": "South Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601771822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "107 S McLean Blvd",
            "address_2": "Ste B",
            "city": "South Elgin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601771822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

Verify at the official NPI Registry.