Jessica Carroll, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209021760 Issued in IL

Practice address

3 Erie CT
Oak Park, IL 60302-2519

Phone

(708) 383-6200

NPI assigned

Dec 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iems Physician Services PLLCGroup PAC ID 2567802556, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Insight Hospital and Medical Center Chicago Hospital, Chicago, IL, CCN 140158
• West Suburban Medical Center Hospital, Oak Park, IL, CCN 140049

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Iems Physician Services PLLC

  • Emergency Medicine Physician
  • Urbana, IL
  • NPI 1790544047
  Medicare reassignment Care Compare group
• Illinois Emergency Medicine Specialists, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bolingbrook, IL
  • NPI 1003150962
  Medicare reassignment NPD
• Insight Chicago, Inc.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1881261006
  Medicare reassignment NPD
• Insight Chicago, Inc.

  • Rehabilitation Hospital Unit
  • Chicago, IL
  • NPI 1154308518
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Insight Chicago, Inc.

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1730166224
  Care Compare affiliation
• Resilience Healthcare-West Suburban Medical Center, LLC

  • General Acute Care Hospital
  • Oak Park, IL
  • NPI 1619442266
  Care Compare affiliation

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1740057041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E NORTH WATER ST UNIT 4410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606110818",
            "telephone_number": "708-302-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ERIE CT",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-383-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "JESSICA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zoeniche Carpenter
• Ashley Carrasco, LSW
• Sarah Maria Carreon, MD
• Zachary Alexander Carrera
• Alison Beauvais Carris, LPC, BCBA
• Amy Carson, RD
• Brandi Carson, MT-BC
• Judy A Carter, M.D.
• Kayla Nicole Carter
• Reginald Carter

• Family Nurse Practitioner in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.