Individual provider Active NPI

Jordyn Beck, DNP, RN, CNL

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1669211504
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.031192 Issued in IL
Practice address
779 W Adams St
Chicago, IL 60661-3509
Phone
(312) 382-8308
NPI assigned
May 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.475282 IL
Family Nurse Practitioner 363LF0000X 209.031192 IL Primary

Addresses

Primary practice location

779 W Adams St
Chicago, IL 60661-3509

Mailing address

PO Box 637
Beecher, IL 60401-0637
Phone (708) 267-0158

Other practice location 1

520 S Maple Ave
Oak Park, IL 60304-1022
Phone (708) 267-0158

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
I20250828002479 IL Practitioner - Nurse Practitioner 0446751804 Reassigns benefits to 1 organization

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
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

Practice addresses (Care Compare)

1122 Willow Rd
Northbrook, IL 60062-6824
Phone (847) 714-1220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.475282ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Jul 2, 2025 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Jul 2, 2025 Accepting new patients

Locations

779 W Adams St
Chicago, IL 60661
Phone (312) 382-8308

1122 Willow Rd
Northbrook, IL 60062
Phone (847) 686-4444

17119 La Grange Rd
Tinley Park, IL 60487
Phone (708) 942-6707

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Organizations & group practices 2

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": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1669211504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604010637",
            "telephone_number": "708-267-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 W ADAMS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606613509",
            "telephone_number": "312-382-8308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 S Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603041022",
            "country_code": "US",
            "telephone_number": "708-267-0158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "JORDYN",
        "credential": "DNP, RN, CNL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.475282",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.031192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.