JESSICA VODICKA
NPI 1073924015
Nurse Practitioner - Family in Lemont, IL

Active since May 13, 2014PECOS Enrolled
13045 RAVINE DR, LEMONT, IL 60439(630) 233-4738(630) 566-3897 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2023, Apr 22, 2022, May 16, 2016 (3 updates tracked since 2016).

About Jessica Vodicka NPPES

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

JESSICA VODICKA (NPI 1073924015) is an individual family provider in Lemont, Illinois, licensed in Illinois (277001756) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1073924015
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA VODICKA
Location Address13045 RAVINE DRLemont, IL 60439-7331
Mailing Address13045 Ravine DrLemont, IL 60439-7331 · (630) 233-4738 · Fax (630) 566-3897
Fax(630) 566-3897
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 13, 2014
Last NPPES UpdateOctober 6, 20233 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
NPI 1073924015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IL · 277001756 Licensed in IL · 209.011388
13045 RAVINE DR, Lemont, IL 60439

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Vodicka is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163646589
PECOS Enrollment IDI20140604002363
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60439 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Health Service)
13045 RAVINE DR
LEMONT, IL 60439

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 Jessica Vodicka's NPI number?

The NPI number for Jessica Vodicka is 1073924015. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Jessica Vodicka located?

Jessica Vodicka practices at 13045 Ravine Dr, Lemont, IL 60439. The listed phone number is (630) 233-4738.

What is Jessica Vodicka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Vodicka enrolled in Medicare?

Yes. Jessica Vodicka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Vodicka was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.