Individual provider Active NPI

Jaclyn Rene Schieber, M.D.

  • Emergency Medicine Physician
  • Louisville, KY
National Provider Identifier
1790985554
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
XXXXXXX Issued in IL
Practice address
500 W Main St
Louisville, KY 40202-2946
Phone
(800) 457-4708
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X XXXXXXX IL Primary

Addresses

Primary practice location

500 W Main St
Louisville, KY 40202-2946

Mailing address

500 W Main St
Louisville, KY 40202-2946
Phone (800) 457-4708

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110930000507 IL Practitioner - Emergency Medicine 2567634207 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
XXXXXXXILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Emergency Medicine CurrentSince Apr 24, 2017 Accepting new patients
Erie Family Health Center Inc CurrentSince Jul 11, 2023 Accepting new patients
Erie Family Health Center Inc CurrentSince Jul 11, 2023 Accepting new patients
Erie Family Health Center, Inc Current Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 24, 2017 Accepting new patients

Locations

1504 S Albany Ave
Chicago, IL 60623

9532 Eagle Way
Chicago, IL 60678

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

1701 W Superior St
Fl 2
Chicago, IL 60622
Phone (323) 361-2122

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1790985554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022946",
            "telephone_number": "800-457-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022946",
            "telephone_number": "800-457-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIEBER",
        "first_name": "JACLYN",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "XXXXXXX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.