Active NPI
Danielle Jordal, APN
- Nurse Practitioner
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209-009786
- Practice address
- 1340 Charles St Ste 300
Rockford, IL 61104-2200 - Phone
- (779) 696-5888
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209-009786 | IL | Primary |
Addresses
Primary practice location
1340 Charles St Ste 300
Rockford, IL 61104-2200
Mailing address
PO Box 1567
Rockford, IL 61110-0067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871
Hospital & facility affiliations
- Northwest Home Health & Rehab
- Focus Home Health Care, Inc
- American Family Home Health Services LLC
- Unity Hospice of Western Illinois
- Mo Chara Hospice LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 58.33 of 100
- Quality
- 41.25
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 69.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-009786 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Home Physicians, LLC | Current | Accepting new patients | |
| In Home Medical Group LLC | Current | Accepting new patients | |
| The SNF Group, PLLC | Past | Accepting new patients |
Locations
1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871
1S450 Summit Ave
Ste 270
Oakbrook Terrace, IL 60181
1340 Charles St
Ste 300
Rockford, IL 61104
Phone (779) 696-5888
4215 Newburg Rd
Rockford, IL 61108
Phone (815) 988-8500
1905 W Hart Rd
Beloit, WI 53511
Phone (608) 365-2554
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.
-
- Physical Medicine & Rehabilitation Physician
- Oakbrook Terrace, IL
- NPI 1568909505
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1750802344
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Huntley, IL
- NPI 1205129913
-
- Home Health Agency
- Chicago, IL
- NPI 1689779910
-
- Community Based Hospice Care Agency
- Cherry Valley, IL
- NPI 1205614740
-
- Home Health Agency
- Lake in the Hills, IL
- NPI 1538241831
-
- Community Based Hospice Care Agency
- Rochelle, IL
- NPI 1740369628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1639429855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1567",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611100067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 CHARLES ST STE 300",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042200",
"telephone_number": "779-696-5888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAL",
"first_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209-009786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.