Individual provider Active NPI

Jean Alcasid Yao, NP

  • Nurse Practitioner
  • Gurnee, IL
National Provider Identifier
1639813751
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209024974 Issued in IL
Practice address
20 Tower CT Ste C
Gurnee, IL 60031-5711
Phone
(847) 244-2960
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209024974 IL Primary

Addresses

Primary practice location

20 Tower CT Ste C
Gurnee, IL 60031-5711

Mailing address

PO Box 7630
Gurnee, IL 60031-7002
Phone (847) 244-6320

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GIAMidwest-LSG@directaddress.net Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220516001453 IL Practitioner - Nurse Practitioner 4587041405 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209024974ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HCR Manorcare Medical Services of Florida LLC Nurse Practitioner CurrentSince Nov 29, 2022 Accepting new patients
Elgin Gastroenterology SC Current Accepting new patients
Illinois Gastroenterology Group, LLC CurrentSince Jun 20, 2022 Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Southerncare, Inc. CurrentSince May 4, 2024 Accepting new patients
Ih Physician Services, PC CurrentSince May 4, 2024 Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients

Locations

5400 Riverside Dr
Ste 200
Macon, GA 31210
Phone (478) 477-0101

715 W Central Rd
Arlington Hts, IL 60005
Phone (847) 392-2020

1110 W Lake Cook Rd
Ste 130A
Buffalo Grove, IL 60089
Phone (847) 777-3346

1110 W Lake Cook Rd
Ste 130
Buffalo Grove, IL 60089
Phone (630) 709-4565

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

333 Salem Pl
Ste 165
Fairview Heights, IL 62208
Phone (618) 632-0304

20 Tower Ct
Ste C
Gurnee, IL 60031
Phone (847) 244-2960

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

9401 S Kostner Ave
Oak Lawn, IL 60453
Phone (708) 423-6731

1010 Executive Dr
Ste 200
Westmont, IL 60559
Phone (567) 585-1191

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

L2540
Columbus, OH 43260

Organizations & group practices 9

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1639813751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7630",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600317002",
            "telephone_number": "847-244-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 TOWER CT STE C",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315711",
            "telephone_number": "847-244-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAO",
        "first_name": "JEAN",
        "middle_name": "ALCASID",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209024974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GIAMidwest-LSG@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20 Tower Ct Ste C",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600315711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.