Individual provider Active NPI

Jennifer Long

  • Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1982070959
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209013052 Issued in IL
Practice address
444 N Eola Rd
Unit 110
Aurora, IL 60502-9615
Phone
(630) 692-5660
Fax
(630) 692-5661
NPI assigned
Aug 13, 2015
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209013052 IL Primary
Family Nurse Practitioner 363LF0000X 209013052 IL
Registered Nurse 163W00000X 041376253 IL

Addresses

Primary practice location

444 N Eola Rd
Unit 110
Aurora, IL 60502-9615

Mailing address

2040 Ogden Ave
Suite 313
Aurora, IL 60504-7206
Phone (630) 499-2404

Other practice location 1

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

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
I20160201000750 IL Practitioner - Nurse Practitioner 7214231927 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

233 S Gary Ave
Bloomingdale, IL 60108-2213
Phone (630) 358-4414

235 S Gary Ave
Suite 100
Bloomingdale, IL 60108-2213
Phone (630) 893-9600

2900 Foxfield Rd
Suite 100
St Charles, IL 60174-5799
Phone (630) 377-6500

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

820 Route 59
Barlett, IL 60103-1694
Phone (630) 213-9600

820 S Il Route 59
Suite 320
Bartlett, IL 60103-1694
Phone (630) 225-2663

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041376253ILMDRegistered Nurse
209013052ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Hospital Association CurrentSince Jan 25, 2017 Accepting new patients
Central Dupage Physician Group CurrentSince Oct 1, 2023 Accepting new patients
Rockford Health Physicians CurrentSince Mar 1, 2025 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Jan 13, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 1, 2019 Accepting new patients
Winfield Pathology Consultants, S.C. Current Accepting new patients
Mercy Health System Corporation CurrentSince Mar 1, 2025 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Nov 11, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Mar 1, 2025 Accepting new patients
Central Dupage Hospital Association CurrentSince Jan 25, 2017 Accepting new patients
Central Dupage Physician Group CurrentSince Oct 1, 2023 Accepting new patients
Cepamerica Illinois LLP CurrentSince Jun 9, 2022 Accepting new patients
Cepamerica Illinois LLP CurrentSince Jun 9, 2022 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients
Rush-Copley Hospitalists, LLC PastSince Jun 21, 2016 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

1663 Belvidere Rd
Belvidere, IL 61008
Phone (815) 544-0040

Dept 5777
Carol Stream, IL 60122

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

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

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

335 E Army Trail Rd
Glendale Heights, IL 60139
Phone (630) 389-1681

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2000 McDonald Rd
South Elgin, IL 60177
Phone (224) 783-5000

2900 Foxfield Rd
St Charles, IL 60174
Phone (630) 377-7900

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1982070959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 OGDEN AVE",
            "address_2": "SUITE 313",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047206",
            "telephone_number": "630-499-2404",
            "fax_number": "630-499-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N EOLA RD",
            "address_2": "UNIT 110",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605029615",
            "telephone_number": "630-692-5660",
            "fax_number": "630-692-5661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 S Route 31",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600148190",
            "country_code": "US",
            "telephone_number": "779-220-5500",
            "fax_number": "779-220-5184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2025-04-01",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209013052",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013052",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041376253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.