Active NPI
Beverly A Jakic, APRN, CNP
- Nurse Practitioner
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209031210
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.031210 | IL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hpa Medical Management, LLC | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Hpa Medical Management, LLC | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | 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.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Barrington, IL
- NPI 1164176483
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Richmond, VA
- NPI 1912658774
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.