Jessica E Feller, PA-C
Individual provider Active NPI Physician Assistant · Countryside, IL
NPI 1831476795 · NPPES record last updated Feb 11, 2014
Key facts
- NPI
- 1831476795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085004240 (IL)
- Practice address
- 6555 South Willow Springs Road
Suite 6
Countryside, IL 60525 - Phone
- (708) 579-4900
- NPI assigned
- Nov 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Elmhurst Memorial Hospital
Endeavor Health Medical Group
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
- Elmhurst Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
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 |
|---|---|---|---|---|
| I20120301000909 | IL | Practitioner - Physician Assistant | 5395904817 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Health Ventures | Current |
Accepting new patients | |
| Cepamerica Illinois LLP | Current |
Accepting new patients | |
| Edward Hospital | Current |
Accepting new patients | |
| Endeavor Health Medical Group | Current |
Accepting new patients | |
| Edward Hospital | Current |
Accepting new patients | |
| Naperville Psychiatric Ventures | Current |
Accepting new patients | |
| Cepamerica Illinois LLP | Current |
Accepting new patients | |
| Edward Health Ventures | Current |
Accepting new patients | |
| Workright Occupational Health Services SC | Past |
Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
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 310
Naperville, IL 60540
Phone (630) 527-5575
1804 N Naper Blvd
Naperville, IL 60563
Phone (630) 646-5770
120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730
2007 95th St
Naperville, IL 60564
Phone (630) 646-5800
852 S West St
Naperville, IL 60540
Phone (630) 305-5027
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
932 Lake St
Oak Park, IL 60301
Phone (331) 221-1700
6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200
Interoperability endpoints
- https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
- jfeller129794@direct.edward.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085004240 | IL | Yes |
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
- Jessica E Pitrowski
Other providers in Countryside, IL
- Tawana L Edgeson-Steiner
- Madison Rachelle Elder
- Jillian Elmore
- Eric Eugenio-Vironet
- Michael Fagbulu
- Michelle Fink
- Jennifer L Fliegel
- Flying High Gymnastics, Inc
- Daniel P Foley
- Kristin Amelia Fransen
All providers in Countryside, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2014. 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.