Active NPI
Jolene K Manuyag
- Family Nurse Practitioner
- Hinsdale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209020785
- Practice address
- 12 Salt Creek LN Ste 425
Hinsdale, IL 60521-8603 - Phone
- (312) 848-3533
- NPI assigned
- Mar 27, 2020
- Last updated
- Mar 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209020785 | IL | Primary |
Addresses
Primary practice location
12 Salt Creek LN Ste 425
Hinsdale, IL 60521-8603
Mailing address
12 Salt Creek LN Ste 425
Hinsdale, IL 60521-8603
Phone (630) 789-2260
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12 Salt Creek LN
Suite 425
Hinsdale, IL 60521-8603
Phone (630) 789-2260
Hospital & facility affiliations
- Uchicago Medicine Adventhealth Hinsdale
- Uchicago Medicine Adventhealth la Grange
- Uchicago Medicine Adventhealth Bolingbrook
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.21 of 100
- Quality
- 67.65
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 80.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hinsdale Gastroenterology Associates, SC | Current | Accepting new patients | |
| Illinois Gastroenterology Group, LLC | Current | Accepting new patients | |
| Northwest Gastroenterologists SC | Current | Accepting new patients | |
| Elgin Gastroenterology SC | Current | Accepting new patients | |
| Elgin Gastroenterology Endoscopy Center LLC | Current | Accepting new patients |
Locations
745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362
12 Salt Creek Ln
Ste 425
Hinsdale, IL 60521
Phone (630) 789-2260
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1316277817
-
dba The Endo Center of Elgin Gastroenterology
- Ambulatory Surgical Clinic/Center
- Elgin, IL
- NPI 1992875454
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1932291101
-
- Gastroenterology Physician
- Hinsdale, IL
- NPI 1073628046
-
- Specialist
- Arlington Heights, IL
- NPI 1801886221
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Bolingbrook
- General Acute Care Hospital
- Bolingbrook, IL
- NPI 1164530465
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
dba Adventhealth la Grange
- General Acute Care Hospital
- La Grange, IL
- NPI 1407889652
-
dba Adventhealth Hinsdale
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
dba Adventhealth la Grange
- Rehabilitation Hospital Unit
- La Grange, IL
- NPI 1588068274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585353600000",
"number": "1790313674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SALT CREEK LN STE 425",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605218603",
"telephone_number": "630-789-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SALT CREEK LN STE 425",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605218603",
"telephone_number": "312-848-3533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANUYAG",
"first_name": "JOLENE K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-27",
"last_updated": "2020-03-28",
"certification_date": "2020-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209020785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinsdale, IL
- Nida Malik, DO
- Sarah Malik, PA-C
- Thomas Venkat Mallidi, MD
- Ryan Walker Mannion, OD
- Manor Care of Hinsdale Il, LLC (ProMedica Skilled Nursing and Rehabilitation (Hinsdale))
- Jacqueline Lee Marchbank, APN
- Erin Marek-Krawczyk, PSY.D.
- Margo Tirado Ma, LCPC, LTD.
- Heather Marino, C.N.P.
- Markley Integrative Healthcare SC (Hinsdale Chiropractic Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2020; 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.