Active NPI
Jana Hostalek, RN , MSN
- Adult Health Nurse Practitioner
- Schaumburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 209011211
- Practice address
- 804 E Woodfield Rd
Suite 300
Schaumburg, IL 60173-4776 - Phone
- (847) 605-0030
- Fax
- (847) 637-0737
- NPI assigned
- Feb 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209011211 | IL | Primary |
Addresses
Primary practice location
804 E Woodfield Rd
Suite 300
Schaumburg, IL 60173-4776
Mailing address
804 E Woodfield Rd
Suite 300
Schaumburg, IL 60173-4776
Phone (847) 605-0030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3621 Martin Luther King Jr Blvd
Suite 6
Lynwood, CA 90262-3512
Phone (310) 605-0128
Hospital & facility affiliations
- Saint Francis Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209011211 | IL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hugh P.Fulmer MD.,Inc | Current | Accepting new patients | |
| Meher F Tabatabai MD Inc | Current | Accepting new patients | |
| Cure4Feet Podiatry Group Inc | Current | Accepting new patients | |
| Chicago Vascular Clinic LTD | Past | Accepting new patients | |
| Mohammad Waseem Kagzi MD LTD | Past | Accepting new patients |
Locations
3755 Beverly Blvd
#300
Los Angeles, CA 90004
Phone (323) 230-4440
3621 Martin Luther King Jr Blvd
Ste 6
Lynwood, CA 90262
Phone (310) 537-1503
599 Inland Center Dr
Ste 114
San Bernardino, CA 92408
Phone (909) 327-4700
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Lynwood, CA
- NPI 1669671640
-
- Infectious Disease Physician
- Lynwood, CA
- NPI 1104095942
-
- Foot & Ankle Surgery Podiatrist
- North Hollywood, CA
- NPI 1104149269
-
- Interventional Cardiology Physician
- Schaumburg, IL
- NPI 1457788424
-
- Sleep Medicine (Internal Medicine) Physician
- Gurnee, IL
- NPI 1750568960
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lynwood, CA
- NPI 1114547114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1831513852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 E WOODFIELD RD",
"address_2": "SUITE 300",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734776",
"telephone_number": "847-605-0030",
"fax_number": "847-637-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 E WOODFIELD RD",
"address_2": "SUITE 300",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734776",
"telephone_number": "847-605-0030",
"fax_number": "847-637-0737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSTALEK",
"first_name": "JANA",
"credential": "RN , MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-11",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209011211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.