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PAULINE DEJESUS RN
NPI 1023787363
Nurse Anesthetist, Certified Registered in Carol Stream, IL

Active since September 09, 2021PECOS EnrolledAccepts Medicare Assignment
727 DAYBREAK LN, CAROL STREAM, IL 60188(630) 400-5220 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2025, Sep 9, 2021 (2 updates tracked since 2021).

About Pauline Dejesus Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAULINE DEJESUS RN (NPI 1023787363) is an individual nurse anesthetist, certified registered in Carol Stream, Illinois, licensed in Illinois (209027999) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1023787363
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NamePAULINE DEJESUSCredential: RN
Location Address727 DAYBREAK LNCarol Stream, IL 60188-3614
Mailing Address727 Daybreak LnCarol Stream, IL 60188-3614 · (630) 400-5220
Phone(630) 400-5220
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 9, 2021
Last NPPES UpdateApril 10, 20252 updates tracked since enumeration
NPPES CertifiedApril 10, 2025
✔ NPI 1023787363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 209027999
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041445495 (IL)
727 DAYBREAK LN, Carol Stream, IL 60188
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Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (312) 996-7487

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pauline Dejesus Rn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204287212
PECOS Enrollment IDI20240103004252
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Pauline Dejesus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Board Of Trustees Of The University Of Illinois
23 mi
Federally Qualified Health Center (FQHC)
3050 W 39TH PL
Chicago, IL 60632
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1932450160 (312) 413-1261

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pauline Dejesus's NPI number?

The NPI number for Pauline Dejesus is 1023787363. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Pauline Dejesus located?

Pauline Dejesus practices at 727 Daybreak Ln, Carol Stream, IL 60188. The listed phone number is (630) 400-5220.

What is Pauline Dejesus's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Pauline Dejesus enrolled in Medicare?

Yes. Pauline Dejesus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Pauline Dejesus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pauline Dejesus reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pauline Dejesus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Pauline Dejesus affiliated with any hospitals?

According to CMS data, Pauline Dejesus is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Pauline Dejesus was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.