Individual provider Active NPI

Jana Hostalek, RN , MSN

  • Adult Health Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1831513852
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209011211 Issued in IL
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

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151027002690 CA Practitioner - Nurse Practitioner 2961632906 Reassigns benefits to 2 organizations

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
Hugh P Fulmer MD.,IncGroup PAC ID 2466533427, 2 clinicians
Meher F Tabatabai M D IncGroup PAC ID 3173695111, 8 clinicians

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 Hospital, Lynwood, CA, CCN 050104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209011211ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hugh P.Fulmer MD.,Inc CurrentSince Apr 1, 2025 Accepting new patients
Meher F Tabatabai MD Inc CurrentSince Feb 21, 2021 Accepting new patients
Cure4Feet Podiatry Group Inc CurrentSince Sep 22, 2015 Accepting new patients
Chicago Vascular Clinic LTD Past Accepting new patients
Mohammad Waseem Kagzi MD LTD PastSince Apr 1, 2014 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.