Individual provider Active NPI

Jeanne M Oelerich, APRN FPA

  • Oncology Clinical Nurse Specialist
  • Aurora, IL
National Provider Identifier
1700853496
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinical Nurse SpecialistTaxonomy code 364SX0200X
License
277000260 Issued in IL
Practice address
2000 Ogden Ave
Aurora, IL 60504
Phone
(630) 978-6250
NPI assigned
Mar 2, 2006
Last updated
Jul 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 041300447 IL
Adult Health Nurse Practitioner 363LA2200X 041-300447 IL
Oncology Clinical Nurse Specialist 364SX0200X 277000260 IL Primary

Addresses

Primary practice location

2000 Ogden Ave
Aurora, IL 60504

Mailing address

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 978-6250

Other practice location 1

430 Warrenville Rd Ste 300
Lisle, IL 60532-1348
Phone (630) 364-7850

Other identifiers 2

IdentifierTypeStateIssuer
K49680OtherILPTAN INDIVIDUAL
993010OtherPTAN GROUP

Other names 1

  • Jeanne Cockrum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230201000990 TN Practitioner - Nurse Practitioner 5799860334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Health System, Inc.Group PAC ID 5294646378, 512 clinicians

Practice addresses (Care Compare)

1130 Middle Creek Rd
Suite 270
Sevierville, TN 37862-2941
Phone (865) 305-8761

1926 Alcoa Hwy
Suite 410
Knoxville, TN 37920-1545
Phone (865) 305-6333

1926 Alcoa Hwy 410
Knoxville, TN 37920-1512
Phone (865) 544-9218

1926 Alcoa Hwy 410
Knoxville, TN 37920-1545
Phone (865) 544-9218

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.8 of 100Reported as group
Quality
92.22
Promoting interoperability
0
Improvement activities
40
Cost
68.61

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041300447ILMDNurse Practitioner
041-300447ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System Inc CurrentSince Jul 1, 2024 Accepting new patients
University Health System, Inc CurrentSince Jul 1, 2024 Accepting new patients
University Health System, Inc Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Advanced Care & Treatment Medical Group Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Kishwaukee Community Hospital Past Accepting new patients

Locations

1926 Alcoa Hwy
Ste 410
Knoxville, TN 37920
Phone (865) 305-5622

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

Interoperability endpoints

  • Direct secure messaging: joelerich147909@direct.rush.rush-health.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1700853496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047222",
            "telephone_number": "630-978-6250",
            "fax_number": "630-978-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60504",
            "telephone_number": "630-978-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Warrenville Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Lisle",
            "state": "IL",
            "postal_code": "605321348",
            "country_code": "US",
            "telephone_number": "630-364-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OELERICH",
        "first_name": "JEANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "APRN FPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041300447",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "041-300447",
            "primary": false
        },
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "IL",
            "license": "277000260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN INDIVIDUAL",
            "identifier": "K49680",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN GROUP",
            "identifier": "993010",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "COCKRUM",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.