Individual provider Active NPI

Jessica Dickinson

  • Family Nurse Practitioner
  • Independence, OH
National Provider Identifier
1972987436
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
041-336095 Issued in IL
Practice address
6150 Oak Tree Blvd Ste 200
Independence, OH 44131-2569
Phone
(216) 406-5406
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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 041-336095 IL Primary

Addresses

Primary practice location

6150 Oak Tree Blvd Ste 200
Independence, OH 44131-2569

Mailing address

6150 Oak Tree Blvd Ste 200
Independence, OH 44131-2569

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
I20150924001545 IL Practitioner - Nurse Practitioner 3476861493 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

335 E Army Trail Rd
Glendale Heights, IL 60139-1755
Phone (630) 735-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041-336095ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Aug 11, 2025 Accepting new patients
Edward Health Ventures CurrentSince Apr 5, 2021 Accepting new patients
Asad Zaman MD SC CurrentSince Apr 1, 2023 Accepting new patients
A Plus Healthcare Management LLC Current Accepting new patients
Edward Health Ventures CurrentSince Apr 5, 2021 Accepting new patients
E Mediate Cure LLC CurrentSince Jun 30, 2018 Accepting new patients
Harvey Emergency Physicians, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Perspective Behavioral and Pain Solutions LTD CurrentSince Dec 1, 2020 Accepting new patients

Locations

1600 Torrence Ave
Calumet City, IL 60409
Phone (708) 730-1300

9501 S Western Ave
Chicago, IL 60643
Phone (773) 344-9465

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

2720 S River Rd
Ste 246
Des Plaines, IL 60018
Phone (847) 306-7277

2720 S River Rd
Ste 130
Des Plaines, IL 60018
Phone (224) 470-6107

335 E Army Trail Rd
Glendale Heights, IL 60139
Phone (630) 226-1006

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

8 Salt Creek Ln
Ste 301
Hinsdale, IL 60521
Phone (331) 221-2550

3033 Ogden Ave
Ste 101
Lisle, IL 60532
Phone (630) 646-6200

1804 N Naper Blvd
Ste 103
Naperville, IL 60563
Phone (630) 646-6200

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

9701 W Higgins Rd
Ste 270
Rosemont, IL 60018
Phone (847) 653-0130

1039 Brook Forest Ave
Shorewood, IL 60404
Phone (815) 681-7733

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1972987436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 OAK TREE BLVD STE 200",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 OAK TREE BLVD STE 200",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312569",
            "telephone_number": "216-406-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041-336095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.