Jacqueline E Trcka, APN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209009853 Issued in IL

Practice address

527 S Martha St
Lombard, IL 60148-2727

Phone

(331) 551-8808

NPI assigned

Oct 2, 2012

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 15, 2022 through Aug 15, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integrative Family Health Associates

  • Primary Care Clinic/Center
  • La Grange, IL
  • NPI 1932352499
  NPD (past)

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1780935684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 S MARTHA ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482727",
            "telephone_number": "312-208-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 S MARTHA ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482727",
            "telephone_number": "331-551-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRCKA",
        "first_name": "JACQUELINE",
        "middle_name": "E",
        "credential": "APN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Spectrum ABA PLLC
• Erica Lynn Toth
• Mary Tran
• Transcendent Psychiatry
• Vincent James Traverso, DPM
• Breanna Trejo
• Tripty Sharma DDS PC
• True Health Chiropractic and Acupuncture, PLLC
• Rong Shang Tu, M.D.
• David J. Tulipan, M.D.

• Family Nurse Practitioner in Lombard, IL
• Providers in Lombard, 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 Jul 25, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.