Active NPI
Christopher W Jelinek, MD
- Family Medicine Physician
- Freeport, IL
National Provider Identifier
1689640005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036073645
- Practice address
- 3001 Highland View Dr
Freeport, IL 61032-6942 - Phone
- (815) 235-3165
- NPI assigned
- Feb 25, 2006
- Last updated
- Oct 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036073645 | IL | Primary |
Addresses
Primary practice location
3001 Highland View Dr
Freeport, IL 61032-6942
Mailing address
421 W Exchange St
PO Box 268
Freeport, IL 61032-4030
Phone (815) 599-7958
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036073645 | Medicaid | IL |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.84 of 100
- Quality
- 75.22
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 73.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeport Memorial Hospital | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba FHN
- Family Medicine Physician
- Freeport, IL
- NPI 1457337016
-
dba FHN-Memorial Hospital
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508716800000",
"number": "1689640005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 W EXCHANGE ST",
"address_2": "PO BOX 268",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610324030",
"telephone_number": "815-599-7958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 HIGHLAND VIEW DR",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610326942",
"telephone_number": "815-235-3165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JELINEK",
"first_name": "CHRISTOPHER",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-25",
"last_updated": "2017-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036073645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036073645",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, IL
- Jane Addams (FHN Family Counseling Center)
- Jane Addams Community Mental Health Center (FHN Family Counseling Center)
- Jane Addams Community Mental Health Center
- Jane Addams Community Mental Health Center (FHN Family Counseling Center)
- Michael R Jay, LCPC
- April Lynn Jessen, NP
- Timothy E Jessen, MD
- JL Physical Therapy
- Dale Alan Johnson, D.D.S.
- Drew William Johnson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.