Individual provider Active NPI

Jessica E Feller, PA-C

  • Physician Assistant
  • Countryside, IL
National Provider Identifier
1831476795
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085004240 Issued in IL
Practice address
6555 South Willow Springs Road
Suite 6
Countryside, IL 60525
Phone
(708) 579-4900
NPI assigned
Nov 7, 2011
Last updated
Feb 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085004240 IL Primary

Addresses

Primary practice location

6555 South Willow Springs Road
Suite 6
Countryside, IL 60525

Mailing address

658 N Michigan St
Elmhurst, IL 60126-1936

Other names 1

  • Jessica E Pitrowski Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120301000909 IL Practitioner - Physician Assistant 5395904817 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elmhurst Memorial HospitalGroup PAC ID 3577458009, 82 clinicians
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

130 S Main St
Lombard, IL 60148-2670

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 758-8000

2650 Ridge Ave
Evanston, IL 60201-1700

303 W Lake St
Suite 301
Addison, IL 60101-2565
Phone (331) 221-4300

8 Salt Creek LN
Hinsdale, IL 60521-2903

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085004240ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP CurrentSince Nov 1, 2016 Accepting new patients
Endeavor Health Medical Group CurrentSince Dec 6, 2023 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Dec 12, 2020 Accepting new patients
Cepamerica Illinois LLP CurrentSince Nov 1, 2016 Accepting new patients
Naperville Psychiatric Ventures CurrentSince Dec 12, 2020 Accepting new patients
Edward Hospital CurrentSince Dec 12, 2020 Accepting new patients
Edward Health Ventures CurrentSince Dec 28, 2020 Accepting new patients
Edward Health Ventures CurrentSince Dec 28, 2020 Accepting new patients
Workright Occupational Health Services SC PastSince Oct 1, 2012 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

303 W Lake St
Addison, IL 60101
Phone (331) 221-1705

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

9532 Eagle Way
Chicago, IL 60678

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

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

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

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

8 Salt Creek Ln
Hinsdale, IL 60521
Phone (331) 221-2400

3033 Ogden Ave
Ste 101
Lisle, IL 60532
Phone (630) 646-6200

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

1804 N Naper Blvd
Naperville, IL 60563
Phone (630) 646-5770

2007 95th St
Naperville, IL 60564
Phone (630) 646-5800

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

852 S West St
Naperville, IL 60540
Phone (630) 305-5027

932 Lake St
Oak Park, IL 60301
Phone (331) 221-1700

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

Interoperability endpoints

  • Direct secure messaging: jfeller129794@direct.edward.org

Organizations & group practices 11

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 1

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": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1831476795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 N MICHIGAN ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 SOUTH WILLOW SPRINGS ROAD",
            "address_2": "SUITE 6",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "60525",
            "telephone_number": "708-579-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLER",
        "first_name": "JESSICA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-07",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PITROWSKI",
            "middle_name": "E",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Countryside, IL

Sources for this page

Verify at the official NPI Registry.