Linda Swan Jackson, RN MSN BC-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209002866 Issued in IL

Practice address

6748 W 111TH St
Worth, IL 60482-1912

Phone

(708) 361-9701

NPI assigned

Jul 28, 2005

Last updated

Feb 11, 2025By 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

Other names 1

• Ms. Linda M Swan Former name

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minuteclinic Diagnostic of Illinois PLLCGroup PAC ID 8729171566, 106 clinicians

Minuteclinic Primary Care Illinois PLLCGroup PAC ID 7416471842, 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Minuteclinic Diagnostic of Illinois PLLC

  • Family Nurse Practitioner
  • Mokena, IL
  • NPI 1356485809
  Medicare reassignment Care Compare group NPD
• Minuteclinic Primary Care Illinois PLLC

  • Family Nurse Practitioner
  • Mokena, IL
  • NPI 1528875564
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1629078910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 GENEVA AVE",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601041101",
            "telephone_number": "708-547-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6748 W 111TH ST",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604821912",
            "telephone_number": "708-361-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LINDA",
        "middle_name": "SWAN",
        "name_prefix": "Mrs.",
        "credential": "RN MSN BC-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209002866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "SWAN",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "RN BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Hartz
• Highland Park CVS LLC (CVS Pharmacy # 08505)
• Amalia Hoskins, PBT
• Dimitra Iliopoulos, LCPC
• J. a. Nolan, OD LTD
• Maqsood H Jafri, M.D.
• Kristen Marie Johansen, D.C.
• Whitney S Jones
• Paulina Kaczmarczyk, PHARMD
• Howard M Lichtenstein, D.D.S.

• Family Nurse Practitioner in Worth, IL
• Providers in Worth, 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 Feb 11, 2025; 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.