Jennifer Chamberlin, APN-CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209025697 Issued in IL

Practice address

2650 Ridge Ave
Evanston, IL 60201-1700

Phone

(847) 570-2040

Fax

(847) 733-5315

NPI assigned

Jul 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VT, NH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

University of Vermont College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluewater Emergency Partners of Brunswick, LLCGroup PAC ID 3375774227, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024
• Valley Regional Hospital Hospital, Claremont, NH, CCN 301308

Merit-based Incentive Payment System (MIPS)

Final score

84.9 of 100Reported as group

Quality

75.91

Promoting interoperability

99

Improvement activities

40

Cost

74.6

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vrhjecham@yourcarecommunity.org

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.

• Bluewater Emergency Partners of Brunswick, LLC

  • Emergency Medicine Physician
  • Brunswick, ME
  • NPI 1043640204

  NH, VT

  Medicare reassignment Care Compare group NPD
• Northwestern Medical Center, Inc.

  • General Acute Care Hospital
  • Saint Albans, VT
  • NPI 1538293469
  Medicare reassignment NPD
• Northwestern Medical Center, Inc.

  • General Acute Care Hospital
  • Saint Albans, VT
  • NPI 1720112659
  Medicare reassignment NPD
• Springfield Hospital

  • Critical Access Hospital Clinic/Center
  • Springfield, VT
  • NPI 1033225875
  Medicare reassignment NPD
• Northwestern Medical Center Inc

  • General Acute Care Hospital
  • Saint Albans, VT
  • NPI 1538442199
  NPD
• Northwestern Medical Center, Inc

  • Pediatrics Physician
  • Saint Albans, VT
  • NPI 1003574740
  NPD
• Springfield Hospital .Inc

  • Critical Access Hospital
  • Springfield, VT
  • NPI 1982743969
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwestern Medical Center Inc

  • General Acute Care Hospital
  • Saint Albans, VT
  • NPI 1386689875
  Care Compare affiliation
• Valley Regional Hospital Inc.

  • Critical Access Hospital
  • Claremont, NH
  • NPI 1306933619
  Care Compare affiliation

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1639804933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-2040",
            "fax_number": "847-733-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-2040",
            "fax_number": "847-733-5315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Tabor Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VT",
            "postal_code": "054549784",
            "country_code": "US",
            "telephone_number": "802-881-9356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERLIN",
        "first_name": "JENNIFER",
        "credential": "APN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0136967",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041529120",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209025697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agali Chacon
• James Chadd, MD
• Nabeela Shakir Chadha
• Paul Sheldon Chaitkin, DDS
• Heather Chamberland, PSY.D.
• Anthony L Chambers, PH.D.
• Poome Chamnankit, APN-CNP
• Ashley Yuen-Ling Chan, DDS
• Amy Derringer Chandler, MSW, LCSW
• Scott L Chaney, PAC

• Nurse Practitioner in Evanston, IL
• Providers in Evanston, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.