Jovany Omar Palacios-Ortega, REGISTERED NURSE

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209032413 Issued in IL

Practice address

1234 Valley Lake Dr Apt 345
Schaumburg, IL 60195-3625

Phone

(224) 400-2715

NPI assigned

Feb 13, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Kristine Francisco, NP PC.

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  • Mundelein, IL
  • NPI 1255950911
  NPD
• Mens Health Chicago LLC

  • Adult Health Nurse Practitioner
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  • NPI 1104111848
  NPD (past)
• Mens Health Lasalle LLC

  • Adult Health Nurse Practitioner
  • Chicago, IL
  • NPI 1548514482
  NPD (past)

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1629873799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 VALLEY LAKE DR APT 345",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 VALLEY LAKE DR APT 345",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953625",
            "telephone_number": "224-400-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIOS-ORTEGA",
        "first_name": "JOVANY",
        "middle_name": "OMAR",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041495685",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209032413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Care Specialists, LLC
• Alexis Marie Paisley, OTR/L
• Angela Pajcini, BCBA
• Jasper Paje, RN
• Julia Pakos, RBT
• Michael Edward Palm, ATC
• Ishvari Shashikant Panarker, MD
• Mrunal Panchal, MD
• Theodora Papastratakos
• Paul Eugene Papierski, MD

• Family Nurse Practitioner in Schaumburg, IL
• Providers in Schaumburg, 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 May 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.