Individual provider Active NPI

Jamie Wourms, FNP-BC

  • Family Nurse Practitioner
  • Downers Grove, IL
National Provider Identifier
1932517372
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209011669 Issued in IL
Practice address
Advocate Medical Group - Advocate Clinic Downers Grove
1000 Ogden Ave
Downers Grove, IL 60515-2803
Phone
(224) 225-0244
Fax
(224) 225-0367
NPI assigned
Jul 29, 2014
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209011669 IL Primary

Addresses

Primary practice location

Advocate Medical Group - Advocate Clinic Downers Grove
1000 Ogden Ave
Downers Grove, IL 60515-2803

Mailing address

Advocate Medical Group - Advocate Clinic Downers Grove
1000 Ogden Ave
Downers Grove, IL 60515-2803
Phone (224) 225-0244

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
I20140916002221 IL Practitioner - Nurse Practitioner 5294954731 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209011669ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Gastroenterology SC CurrentSince Mar 1, 2025 Accepting new patients

Locations

3 N Main St
Manteno, IL 60950
Phone (833) 368-8688

1890 Silver Cross Blvd
Ste 340
New Lenox, IL 60451
Phone (815) 714-2240

Organizations & group practices 3

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": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1932517372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ADVOCATE MEDICAL GROUP - ADVOCATE CLINIC DOWNERS GROVE",
            "address_2": "1000 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152803",
            "telephone_number": "224-225-0244",
            "fax_number": "224-225-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ADVOCATE MEDICAL GROUP - ADVOCATE CLINIC DOWNERS GROVE",
            "address_2": "1000 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152803",
            "telephone_number": "224-225-0244",
            "fax_number": "224-225-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOURMS",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.