Jacqueline Kelly Pizinger, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209-008277 Issued in IL

Practice address

1445 Essington Road
Joliet, IL 60435-2886

Phone

(815) 741-6900

NPI assigned

Dec 7, 2010

Last updated

May 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jacqueline Cotton Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis Health SystemGroup PAC ID 6103829338, shared by 2 NPIs, 262 clinicians

Genesis Orthopedics and Sports Medicine LLCGroup PAC ID 7618955808, 24 clinicians

Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
• Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
• Presence Mercy Medical Center Hospital, Aurora, IL, CCN 140174

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Genesis Orthopedics & Sports Medicine LLC

  • Orthopaedic Surgery Physician
  • St Charles, IL
  • NPI 1346389061
  Medicare reassignment Care Compare group NPD
• Genesis Health System

  dba Genesis Medical Center - Silvis

  • General Acute Care Hospital
  • Silvis, IL
  • NPI 1427132604
  Medicare reassignment NPD
• Genesis Health System

  • Surgery Physician
  • Davenport, IA
  • NPI 1528616901
  Medicare reassignment NPD
• Genesis Orthopedics & Sports Medicine LLC

  dba Genesis Orthopedics & Sports Medicine DME

  • Durable Medical Equipment & Medical Supplies
  • Oak Brook, IL
  • NPI 1467954016
  NPD
• Genesis Health System

  dba Genesis Health Group

  • Family Medicine Physician
  • Moline, IL
  • NPI 1164538435
  NPD (past)

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

• Genesis Health System

  dba Genesis Medical Center - Silvis

  • General Acute Care Hospital
  • Silvis, IL
  • NPI 1427132604
  Care Compare affiliation
• Mercy Medical Center - Aurora LLC

  • General Acute Care Hospital
  • Aurora, IL
  • NPI 1598503922
  Care Compare affiliation
• Genesis Health System

  dba Genesis Medical Center Davenport

  • General Acute Care Hospital
  • Davenport, IA
  • NPI 1972542264
  Care Compare affiliation

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1811290216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 ESSINGTON ROAD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352886",
            "telephone_number": "815-741-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 ESSINGTON ROAD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352886",
            "telephone_number": "815-741-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZINGER",
        "first_name": "JACQUELINE",
        "middle_name": "KELLY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2021-05-03",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-008277",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "209008277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209008277",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ioihealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "963 N 129th Infantry Dr",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604353104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JOLIET",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1445 Essington Road",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604352886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "COTTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pinto Medical Group S.C. (Americas Medical Center)
• Juan C Pinto, MD
• Alexandra M Piper
• Pirie Chiropractic Center, LTD (Elite Rehabilitation Institute - Joliet, Ltd.)
• Anthony M Pirie, D.C.
• Michael Plachy Jr., PTA
• April Yvette Platt, M.D.
• Harry R Platt, M.D.
• Laura J Pleskunas, RD
• Simone Plumley

• Family Nurse Practitioner in Joliet, IL
• Providers in Joliet, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.

Verify at the official NPI Registry.