Jacalyn Saracco

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.022446 Issued in IL

Practice address

291 Windsor Dr
Buffalo Grove, IL 60089-1952

Phone

(847) 361-2803

NPI assigned

Dec 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9265/brand/1/csg/1/fhir/r4
• Direct secure messaging: lifestancehealth.jacalynsaracco@146897.advancedmd-direct.com
• Direct secure messaging: jacalyn.saracco.1@9265.direct.athenahealth.com

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.

• Edgewood Clinical Services, P.C.

  • Psychologist
  • Naperville, IL
  • NPI 1295914646

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Jacalyn Saracco Psychiatric Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Naperville, IL
  • NPI 1235007832
  NPD Authorized official
• Comprehensive Clinical Services PC

  • Psychiatry Physician
  • Lombard, IL
  • NPI 1942484522
  NPD (past)
• Psychology Specialists LTD

  • Clinical Psychologist
  • Bloomington, IL
  • NPI 1053368605
  NPD (past)

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1891390696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 WINDSOR DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891952",
            "telephone_number": "847-361-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 WINDSOR DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891952",
            "telephone_number": "847-361-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARACCO",
        "first_name": "JACALYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.022446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Mudrik DDS LTD
• Sanders Court Pediatrics, LTD.
• Sandstone Care Illinois, LLC
• Amy Sapienza, M.S., CCC-SLP
• Parimal G Sapovadia, D.M.D.
• Daniel Satinsky, DC
• Rivka Schaffel
• Meghan Schassler
• Barry Schatzman, DDS
• Erik Schmidt

• Psychiatric/Mental Health Nurse Practitioner in Buffalo Grove, IL
• Providers in Buffalo Grove, 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 Dec 1, 2020; 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.