Individual provider Active NPI

Jennifer Rebecca Brown, ANP-C

  • Adult Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1750535449
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP1943 Issued in AZ
Practice address
259 E Erie St Ste 1400
Chicago, IL 60611-3907
Phone
(312) 695-2500
Fax
(312) 695-7605
NPI assigned
Nov 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP1943 AZ Primary

Addresses

Primary practice location

259 E Erie St Ste 1400
Chicago, IL 60611-3907

Mailing address

259 E Erie St Ste 1400
Chicago, IL 60611-3907
Phone (312) 695-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181128000320 IL Practitioner - Nurse Practitioner 0244280279 Reassigns benefits to 3 organizations
I20210607002425 WI Practitioner - Nurse Practitioner 0244280279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

360 Station Dr
Suite 300
Crystal Lake, IL 60014-8003
Phone (815) 455-1800

515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Jun 1, 2022 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Central Dupage Physician Group CurrentSince Jun 1, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 9, 2021 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 9, 2021 Accepting new patients
Modern Foot & Ankle Centers, PLLC PastSince May 1, 2020 Accepting new patients
Palo Verde Clinic, PLLC PastSince Nov 8, 2004 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

259 E Erie St
Ste 1400
Chicago, IL 60611
Phone (312) 695-2500

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

360 Station Dr
Ste 300
Crystal Lake, IL 60014
Phone (815) 455-1800

360 Station Dr
Crystal Lake, IL 60014
Phone (815) 477-7350

1001 Grant St
Harvard, IL 60033
Phone (815) 943-8090

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

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 4

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": "1226188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1750535449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E ERIE ST STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113907",
            "telephone_number": "312-695-2500",
            "fax_number": "312-695-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E ERIE ST STE 1400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113907",
            "telephone_number": "312-695-2500",
            "fax_number": "312-695-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNIFER",
        "middle_name": "REBECCA",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-09",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP1943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.