Individual provider Active NPI

Jessica Afarin, NP

  • Adult Health Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1871962183
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209013133 Issued in IL
Practice address
6833 N Kedzie Ave Apt 1015
Chicago, IL 60645-2883
Phone
(773) 860-6966
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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 209013133 IL Primary

Addresses

Primary practice location

6833 N Kedzie Ave Apt 1015
Chicago, IL 60645-2883

Mailing address

6833 N Kedzie Ave Apt 1015
Chicago, IL 60645-2883
Phone (773) 860-6966

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
I20160518000174 IL Practitioner - Nurse Practitioner 8527375807 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Gericare Associates PLLCGroup PAC ID 3577093657, 10 clinicians
Metropolitan Healthcare Partners PLLCGroup PAC ID 2466824149, 25 clinicians

Practice addresses (Care Compare)

3445 N Central Ave
Chicago, IL 60634-4420
Phone (312) 715-8088

6201 W Touhy Ave
Chicago, IL 60646-1100
Phone (847) 673-5166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Healthcare Partners PLLC CurrentSince Jun 1, 2023 Accepting new patients
Metropolitan Gericare Associates PLLC CurrentSince Jan 1, 2025 Accepting new patients
West Florida Behavioral Health Inc Past Accepting new patients

Locations

3445 N Central Ave
Unit C
Chicago, IL 60634
Phone (773) 205-0800

3445 N Central Ave
Ste C
Chicago, IL 60634
Phone (773) 205-0800

3445 N Central Ave
Chicago, IL 60634
Phone (312) 715-8088

6201 W Touhy Ave
Chicago, IL 60646
Phone (847) 462-4411

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1871962183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 N KEDZIE AVE APT 1015",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452883",
            "telephone_number": "773-860-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6833 N KEDZIE AVE APT 1015",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452883",
            "telephone_number": "773-860-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFARIN",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209013133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.