Individual provider Active NPI

Jennifer M Hernandez, FNP

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1881396679
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209020078 Issued in IL
Practice address
2868 N Broadway St
Chicago, IL 60657-6017
Phone
(773) 569-3525
NPI assigned
Mar 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209020078 IL
Family Nurse Practitioner 363LF0000X 209020078 IL Primary

Addresses

Primary practice location

2868 N Broadway St
Chicago, IL 60657-6017

Mailing address

2868 N Broadway St
Chicago, IL 60657-6017
Phone (773) 469-3525

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
I20240110002159 IL Practitioner - Nurse Practitioner 5890146278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

320 N 1St St
Ashton, IL 61006-9432
Phone (815) 453-1212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209020078ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Express Care 2, Inc CurrentSince Dec 1, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Dec 1, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Nov 17, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients

Locations

2868 N Broadway St
Chicago, IL 60657
Phone (773) 569-3525

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1840 1st Ave
Sterling, IL 61081
Phone (779) 251-6100

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

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": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1881396679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576017",
            "telephone_number": "773-469-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576017",
            "telephone_number": "773-569-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209020078",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.