Individual provider Active NPI

Jennifer L. Dinges, NP

  • Family Nurse Practitioner
  • Winnebago, IL
National Provider Identifier
1720148281
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Practice address
102 Landmark Dr
Winnebago, IL 61088
Phone
(815) 971-2000
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X IL Primary

Addresses

Primary practice location

102 Landmark Dr
Winnebago, IL 61088

Mailing address

102 Landmark Dr
Winnebago, IL 61088
Phone (815) 971-2000

Other identifiers 1

IdentifierTypeStateIssuer
NON PARMedicaidIL

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
I20120420000224 IL Practitioner - Nurse Practitioner 8123289014 Reassigns benefits to 3 organizations

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
Saint Anthony Medical Center 45 clinicians

Practice addresses (Care Compare)

9951 Rock Cut Xing
Suite 200300
Loves Park, IL 61111-1999
Phone (815) 639-8500

Hospital & facility affiliations

  • Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-001300ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Anthony Medical Center CurrentSince May 15, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince May 4, 2020 Accepting new patients
Rockford Health Physicians CurrentSince Jan 1, 2001 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Saint Anthony Medical Center CurrentSince May 15, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

102 Landmark Dr
Winnebago, IL 61088
Phone (815) 971-3200

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1720148281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LANDMARK DR",
            "city": "WINNEBAGO",
            "state": "IL",
            "postal_code": "61088",
            "telephone_number": "815-971-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LANDMARK DR",
            "city": "WINNEBAGO",
            "state": "IL",
            "postal_code": "61088",
            "telephone_number": "815-971-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGES",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NON PAR",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnebago, IL

Sources for this page

Verify at the official NPI Registry.