Individual provider Active NPI

Carmen Rosa del Rocio Jasso, FNP

  • Family Nurse Practitioner
  • Joliet, IL
National Provider Identifier
1740872290
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209022964 Issued in IL
Practice address
250 Water Stone Cir
Joliet, IL 60431-8313
Phone
(779) 707-8085
NPI assigned
Feb 5, 2021
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 209022964 IL Primary

Addresses

Primary practice location

250 Water Stone Cir
Joliet, IL 60431-8313

Mailing address

1113 Barberry Way
Joliet, IL 60431-7850
Phone (630) 885-1357

Other practice location 1

2025 S Chicago St Ste B
Joliet, IL 60436-3172
Phone (815) 957-4174

Other practice location 2

1113 Barberry Way
Joliet, IL 60431-7850
Phone (630) 885-1357

Other names 1

  • Carmen R Viveros-Olavarri Other 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
I20210922002276 IL Practitioner - Nurse Practitioner 6709283476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joliet Area Community Hospice CorporationGroup PAC ID 6305860123, 6 clinicians

Practice addresses (Care Compare)

250 Water Stone Cir
Joliet, IL 60431-8313
Phone (815) 740-4104

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joliet Area Community Hospice Corporation CurrentSince May 28, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 24, 2024 Accepting new patients
Oak Street Health Physicians Group, PC Family Past Accepting new patients

Locations

250 Water Stone Cir
Joliet, IL 60431
Phone (815) 740-4104

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

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, 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": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1740872290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 BARBERRY WAY",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604317850",
            "telephone_number": "630-885-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WATER STONE CIR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318313",
            "telephone_number": "779-707-8085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 S Chicago St Ste B",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604363172",
            "country_code": "US",
            "telephone_number": "815-957-4174",
            "fax_number": "815-714-6206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1113 Barberry Way",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604317850",
            "country_code": "US",
            "telephone_number": "630-885-1357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASSO",
        "first_name": "CARMEN",
        "middle_name": "ROSA DEL ROCIO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209022964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "VIVEROS-OLAVARRI",
            "middle_name": "R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.