Individual provider Active NPI

Jennie N Austin, AU.D.

  • Audiologist
  • Naperville, IL
National Provider Identifier
1790924751
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.001510 Issued in IL
Practice address
1247 Rickert Dr Ste 200
Naperville, IL 60540-1014
Phone
(630) 456-7628
NPI assigned
Feb 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147.001510 IL Primary

Addresses

Primary practice location

1247 Rickert Dr Ste 200
Naperville, IL 60540-1014

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other names 1

  • Dr. Jennie N Wheeler Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeraci11946@dulyhealthandcare.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140730002717 IL Practitioner - Qualified Audiologist 5193941938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
147.001510ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose and Throat Center S.C. Audiologist CurrentSince Jul 7, 2014 Accepting new patients
Dupage Medical Group LTD CurrentSince Apr 22, 2017 Accepting new patients
Dupage Medical Group LTD CurrentSince Apr 22, 2017 Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1450 Busch Pkwy
Ste 140
Buffalo Grove, IL 60089
Phone (847) 465-1000

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1247 Rickert Dr
Ste 200
Naperville, IL 60540
Phone (630) 420-2323

1875 Dempster St
Ste 301
Park Ridge, IL 60068
Phone (847) 685-1000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1790924751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 RICKERT DR STE 200",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401014",
            "telephone_number": "630-456-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JENNIE",
        "middle_name": "N",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeraci11946@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "1247 Rickert Dr Ste 200",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605401014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "WHEELER",
            "middle_name": "N",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.