Justin W Jelinski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.004721 Issued in IL

Practice address

712 S Milwaukee Ave
Libertyville, IL 60048-3279

Phone

(847) 362-1848

Fax

(847) 362-3351

NPI assigned

Sep 18, 2012

Last updated

Jun 28, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Advanced Psychiatric Solutions, IncGroup PAC ID 9638535354, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Advanced Psychiatric Solutions Inc.

  dba Hopemark Health

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Oak Brook, IL
  • NPI 1548791452
  Medicare reassignment Care Compare group
• Bespoke Psychiatry

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1952937104
  Medicare reassignment NPD
• Rockford Psychiatric Medical Services, S.C.

  • Psychiatry Physician
  • Rockford, IL
  • NPI 1821391442
  Medicare reassignment
• Conestoga Emergency Physicians LLC

  • Emergency Medicine Physician
  • Lancaster, PA
  • NPI 1275582843

  Physician Assistant

  NPD (past)
• Hy-Vee Inc

  dba Hy-Vee Pharmacy (#1876)

  • Community/Retail Pharmacy
  • Wausau, WI
  • NPI 1396619839
  NPD (past)
• New Jersey/Pennsylvania Em-I Medical Services, P.C.

  • Emergency Medicine Physician
  • Lititz, PA
  • NPI 1003930686

  Physician Assistant

  NPD (past)
• Red Rose Emergency Physicians LLC

  • Emergency Medicine Physician
  • Lititz, PA
  • NPI 1003865817

  Physician Assistant

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1710237748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 E MAIN ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614015460",
            "telephone_number": "309-343-3570",
            "fax_number": "309-343-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 S MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483279",
            "telephone_number": "847-362-1848",
            "fax_number": "847-362-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELINSKI",
        "first_name": "JUSTIN",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001450A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.004721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fahd Jajeh, MD
• Olivia Jakubicek, MOT OTR/L
• Leona Jakupi
• Alpha Jarosz, FNP
• Eric Jeffries, FNP
• Jennifer S Lonosky PSYD
• Jennifer Jensen, FNP-BC
• Sarah Jensen, SLP
• John David Jochem, PSY.D.
• John D Jochem, Psy.D., P.C. (Hawthorn Counseling Group)

• Physician Assistant in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.

Verify at the official NPI Registry.