Jaimee Smith, APN, C.N.P.
Individual provider Active NPI Adult Health Nurse Practitioner · Skokie, IL
NPI 1992766786 · NPPES record last updated Jul 12, 2019
Key facts
- NPI
- 1992766786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 209-005388 (IL)
- Practice address
- 9669 Kenton Ave
Suite 608
Skokie, IL 60076-1266 - Phone
- (847) 677-4111
- Fax
- (847) 677-3343
- NPI assigned
- Mar 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Uropartners LLC
Practice addresses (Care Compare)
757 Park Ave W
Suite 3800
Highland Park, IL 60035-2558
Phone (847) 480-3993
Hospital & facility affiliations
- Northshore University Healthsystem - Evanston Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050128000397 | IL | Practitioner - Nurse Practitioner | 6709836539 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-005388 | IL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uropartners LLC | Current | Accepting new patients | |
| Uropartners, LLC | Current |
Accepting new patients | |
| Uropartners, LLC | Current | Accepting new patients | |
| Uropartners, LLC | Current | Accepting new patients | |
| Uropartners, LLC | Current |
Accepting new patients |
Locations
3183 Paysphere Cir
Chicago, IL 60674
836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054
2600 Patriot Blvd
Ste J
Glenview, IL 60026
Phone (224) 260-3100
767 Park Ave W
Ste 220
Highland Park, IL 60035
Phone (847) 432-7222
757 Park Ave W
Ste 3800
Highland Park, IL 60035
Phone (847) 480-3993
9669 Kenton Ave
Ste 608
Skokie, IL 60076
Phone (312) 784-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209-005388 | IL | Yes |
Addresses
Primary practice location
9669 Kenton Ave
Suite 608
Skokie, IL 60076-1266
Mailing address
9669 Kenton Ave
Suite 608
Skokie, IL 60076-1266
Phone (847) 677-4111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209005388 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jaimeesmith@uropart.allscriptsdirect.net |
Other providers in Skokie, IL
- Stephanie Elizabeth Sluzinski
- Smart Choice MRI, LLC
- Dave Martin Smith
- Gisele Smith
- Isabella Smith
- Naomi Smith
- Richard Anthony Smith
- Sheila Smith
- Stephanie Smith
- Trisha Smith
All providers in Skokie, IL · Adult Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.