Jacqueline J Celmer, FNP
Individual provider Active NPI Family Nurse Practitioner · Countryside, IL
NPI 1811245178 · NPPES record last updated Apr 28, 2025
Key facts
- NPI
- 1811245178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209009524 (IL)
- Practice address
- 6438 Joliet Rd
Countryside, IL 60525-4685 - Phone
- (708) 352-5222
- NPI assigned
- Aug 16, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Nani Internal Med LLC
Practice addresses (Care Compare)
412 63Rd St
Suite 100
Downers Grove, IL 60516-2000
Phone (331) 775-2783
Hospital & facility affiliations
- Uchicago Medicine Adventhealth Hinsdale
- Uchicago Medicine Adventhealth la Grange
- Advocate Good Samaritan Hospital
- Uchicago Medicine Adventhealth Bolingbrook
- Silver Cross Hospital and Medical Centers
- Shirley Ryan Abilitylab
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130410000156 | IL | Practitioner - Nurse Practitioner | 8628214087 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Northern Illinois, LTD. | Current |
Accepting new patients | |
| Nephrology Associates of Northern Illinois, LTD. | Current |
Accepting new patients | |
| Nani Internal Med Aco, LLC | Current |
Accepting new patients | |
| Nani Internal Med LLC | Current |
Accepting new patients |
Locations
396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301
6438 Joliet Rd
Countryside, IL 60525
Phone (708) 352-5222
412 63rd St
Ste 100
Downers Grove, IL 60516
Phone (331) 775-2783
120 Spalding Dr
Ste 410
Naperville, IL 60540
Phone (630) 369-0780
120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000
Interoperability endpoints
- jcelmer252424@direct.myadvocateaurora.org
- https://api.platform.athenahealth.com/18778/brand/1/csg/1/fhir/r4
- jacqueline.celmer.1@18778.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209009524 | IL | Yes |
Addresses
Primary practice location
6438 Joliet Rd
Countryside, IL 60525-4685
Mailing address
120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 573-5000
Other practice location 1
412 63rd St Ste 100
Downers Grove, IL 60516-2000
Phone (331) 775-2783
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400542659 | Other | IL | MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcelmer252424@direct.myadvocateaurora.org | Direct | |
| Direct Messaging Address | credentialing@nephdocs.com | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Countryside, IL
- Eugene J Buksa
- Stacey L Carpenter
- Michael Caruso
- Cecil Chiropractic Clinic, P.C.
- Brian Allan Cecil
- Center for Independence Through Conductive Education Inc
- Eileen Diane Caadan Chavez
- Marquez Chew
- Seema Choudhury
- Mikayla Clark
All providers in Countryside, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.