Jacqueline M Macdonald, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209031085 Issued in IL

Practice address

6377 Sebring Way
Loves Park, IL 61111-8609

Phone

(815) 986-1113

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Geiger Psychiatric Care LLCGroup PAC ID 1557312154, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Geiger Psychiatric Care LLC

  • Psychiatry Physician
  • Loves Park, IL
  • NPI 1043356595
  Medicare reassignment Care Compare group NPD
• Progressive Chiropractic Wellness & Rehab Centre, P.C.

  • Point of Service
  • Loves Park, IL
  • NPI 1023206265
  NPD (past)

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1881291433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10566 E CEDARVILLE RD",
            "city": "DAVIS",
            "state": "IL",
            "postal_code": "610199338",
            "telephone_number": "815-391-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6377 SEBRING WAY",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611118609",
            "telephone_number": "815-986-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10566 E Cedarville Rd",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "IL",
            "postal_code": "610199338",
            "country_code": "US",
            "telephone_number": "815-391-0781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "IL",
            "license": "041413999",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209031085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Diane Loudermilk, CRNA
• Douglas J. Loughead, M.D.
• Loves Park Chiropractic Clinic S C
• Jason Lubben, ATC
• Lucem LLC
• Amanda Devell Madenis, NHP, MW
• Becky L Madsen, CRNA
• Thomas Magerl, APN
• Michael Bernard Maloney, DO
• Monica Manhas, MD

• Psychiatric/Mental Health Nurse Practitioner in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.

Verify at the official NPI Registry.