NPIMap

Individual provider Active NPI

Jacqueline J Celmer, FNP

  • Family Nurse Practitioner
  • Countryside, IL
National Provider Identifier
1811245178
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209009524 Issued in IL
Practice address
6438 Joliet Rd
Countryside, IL 60525-4685
Phone
(708) 352-5222
NPI assigned
Aug 16, 2012
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209009524 IL Primary

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

Electronic endpoints 3

TypeEndpointUseAffiliation
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/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130410000156 IL Practitioner - Nurse Practitioner 8628214087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Nani Internal Med LLCGroup PAC ID 6901141498, 5 clinicians

Practice addresses (Care Compare)

412 63Rd St
Suite 100
Downers Grove, IL 60516-2000
Phone (331) 775-2783

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209009524ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Northern Illinois, LTD. CurrentSince Jul 16, 2019 Accepting new patients
Nephrology Associates of Northern Illinois, LTD. CurrentSince Jul 16, 2019 Accepting new patients
Nani Internal Med Aco, LLC CurrentSince Nov 23, 2024 Accepting new patients
Nani Internal Med LLC CurrentSince Jan 1, 2019 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

  • Direct secure messaging: credentialing@nephdocs.com
  • FHIR API: https://api.platform.athenahealth.com/18778/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jacqueline.celmer.1@18778.direct.athenahealth.com
  • Direct secure messaging: jcelmer252424@direct.myadvocateaurora.org

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1811245178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST STE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231563",
            "telephone_number": "630-573-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6438 JOLIET RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605254685",
            "telephone_number": "708-352-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 63rd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605162000",
            "country_code": "US",
            "telephone_number": "331-775-2783",
            "fax_number": "866-399-1492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELMER",
        "first_name": "JACQUELINE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcelmer252424@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6438 Joliet Rd",
            "city": "Countryside",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605254685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 W 22nd St Ste 200",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "6438 Joliet Rd",
            "city": "Countryside",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605254685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Countryside, IL

Sources for this page

Verify at the official NPI Registry.