Individual provider Active NPI

Nicolette Jones, APN, FNP-BC

  • Family Nurse Practitioner
  • Mokena, IL
National Provider Identifier
1871084590
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.016975 Issued in IL
Practice address
19070 Everett Blvd Unit 202
Mokena, IL 60448-2073
Phone
(708) 479-4488
NPI assigned
May 29, 2018
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209016975 IL
Family Nurse Practitioner 363LF0000X 209.016975 IL Primary

Addresses

Primary practice location

19070 Everett Blvd Unit 202
Mokena, IL 60448-2073

Mailing address

7855 Marquette Dr S
Tinley Park, IL 60477-4560
Phone (708) 429-2238

Other practice location 1

114 Barney Dr
Joliet, IL 60435-6404
Phone (815) 729-0521

Other names 1

  • Nicolette Ambrose Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
209.016975ILMDFamily Nurse Practitioner
209016975ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
L Claude Aschinberg MD LTD Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1871084590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 MARQUETTE DR S",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774560",
            "telephone_number": "708-429-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19070 EVERETT BLVD UNIT 202",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604482073",
            "telephone_number": "708-479-4488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Barney Dr",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604356404",
            "country_code": "US",
            "telephone_number": "815-729-0521",
            "fax_number": "815-729-9060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "NICOLETTE",
        "credential": "APN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016975",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.016975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLETTE",
            "last_name": "AMBROSE",
            "credential": "APN, FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.