Individual provider Active NPI

Nadyah Mohiuddin-Jaffar, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1699599266
Registry record updated Nov 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209.033078 Issued in IL
Practice address
500 Wilcox St
Joliet, IL 60435-6169
Phone
(800) 735-7500
NPI assigned
Nov 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.033078 IL Primary

Addresses

Primary practice location

500 Wilcox St
Joliet, IL 60435-6169

Mailing address

111 N County Farm Rd
Wheaton, IL 60187-3988

Other names 1

  • Nadyah Mohiuddin Former name

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
I20251103004085 IL Practitioner - Nurse Practitioner 3476043035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of Dupage Department of HealthGroup PAC ID 4981695103, 30 clinicians

Practice addresses (Care Compare)

111 N County Farm Rd
Wheaton, IL 60187-3977
Phone (630) 682-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.033078ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Dupage Department of Health Current Accepting new patients
County of Dupage Department of Health CurrentSince Oct 20, 2025 Accepting new patients
County of Dupage Department of Health CurrentSince Oct 20, 2025 Accepting new patients

Locations

111 N County Farm Rd
Wheaton, IL 60187
Phone (630) 627-1700

Organizations & group practices 3

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": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761955200000",
    "number": "1699599266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N COUNTY FARM RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WILCOX ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356169",
            "telephone_number": "800-735-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHIUDDIN-JAFFAR",
        "first_name": "NADYAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2025-11-01",
        "certification_date": "2025-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.033078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADYAH",
            "last_name": "MOHIUDDIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.