Individual provider Active NPI

Beverly A Jakic, APRN, CNP

  • Nurse Practitioner
  • McHenry, IL
National Provider Identifier
1659181568
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209031210 Issued in IL
Practice address
4305 W Medical Center Dr Ste 1
McHenry, IL 60050-8425
Phone
(815) 759-8100
Fax
(815) 759-8106
NPI assigned
Jan 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 209.031210 IL
Nurse Practitioner 363L00000X 209031210 IL Primary

Addresses

Primary practice location

4305 W Medical Center Dr Ste 1
McHenry, IL 60050-8425

Mailing address

4305 W Medical Center Dr Ste 1
McHenry, IL 60050-8425
Phone (815) 759-8100

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
I20250328002785 IL Practitioner - Nurse Practitioner 9931622099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hpa Medical Management LLCGroup PAC ID 3274877105, 16 clinicians
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

405 Lake Zurich Rd
Suite 100
Barrington, IL 60010-3141
Phone (847) 381-5599

4201 W Medical Ctr Dr
McHenry, IL 60050-8409
Phone (815) 759-4323

4309 W Medical Ctr Dr
Suite A200
McHenry, IL 60050-8437
Phone (815) 759-8070

515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870

Hospital & facility affiliations

  • Northwestern Medicine McHenry Hospital, McHenry, IL, CCN 140116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.031210ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hpa Medical Management, LLC CurrentSince Mar 26, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Dec 17, 2025 Accepting new patients
Hpa Medical Management, LLC CurrentSince Mar 26, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Dec 17, 2025 Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

405 Lake Zurich Rd
Ste 100
Barrington, IL 60010
Phone (847) 381-5599

Dept 5777
Carol Stream, IL 60122

10350 Haligus Rd
Ste 120
Huntley, IL 60142
Phone (815) 356-2323

660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

4305 W Medical Center Dr
Ste 1
McHenry, IL 60050
Phone (815) 363-0066

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599

6303 Cowboys Way
Ste 600
Frisco, TX 75034

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1659181568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 W MEDICAL CENTER DR STE 1",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508425",
            "telephone_number": "815-759-8100",
            "fax_number": "815-759-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 W MEDICAL CENTER DR STE 1",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508425",
            "telephone_number": "815-759-8100",
            "fax_number": "815-759-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKIC",
        "first_name": "BEVERLY",
        "middle_name": "A",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "209.031210",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209031210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.