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JESSICA ROMAN DNP-FNP-BC
NPI 1083432413
Nurse Practitioner - Family in Chicago, IL

Active since October 03, 2024PECOS EnrolledAccepts Medicare Assignment
1701 W SUPERIOR ST, CHICAGO, IL 60622(312) 666-3494 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Roman Dnp-fnp-bc NPPES

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

JESSICA ROMAN DNP-FNP-BC (NPI 1083432413) is an individual family provider in Chicago, Illinois, licensed in Illinois (209030625) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083432413
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA ROMANCredential: DNP-FNP-BC
Location Address1701 W SUPERIOR STChicago, IL 60622-5646
Mailing Address2853 N Major Ave Unit 402Chicago, IL 60634-5234 · (773) 822-9740
Phone(312) 666-3494
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1083432413 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
License✔ Licensed in IL · 209030625
1701 W SUPERIOR ST, Chicago, IL 60622
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Jessica Roman Dnp-fnp-bc 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 ID3577083336
PECOS Enrollment IDI20250224001543
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 Jessica Roman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Erie Family Health Center, Inc
Same address
Federally Qualified Health Center (FQHC)
1701 W SUPERIOR ST
Chicago, IL 60622
  • Reassigned Medicare billing, Illinois enrollment
  • 383 clinicians in this Medicare group
NPI 1760499545 (312) 432-7394

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60622 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 20

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

STEPHANIE MARIN
Social Worker (Clinical)
1701 W SUPERIOR ST
CHICAGO, IL 60622
Cook County (847) 666-3494
MS. CAROLINE J TETER PA-C
Physician Assistant (Medical)
1701 W SUPERIOR ST
CHICAGO, IL 60622
Cook County (312) 432-7392
MS. ANN MARY MCCORMICK APN
Nurse Practitioner (Family)
1701 W SUPERIOR ST
CHICAGO, IL 60622
Cook County (312) 666-3494
JULIE DOROTHY OSBORNE APN
Nurse Practitioner (Family)
1701 W SUPERIOR ST
CHICAGO, IL 60622
Cook County (312) 666-3494
DR. JESSICA MARTHA REGGI D.O.
Pediatrics
1701 W SUPERIOR ST
CHICAGO, IL 60622
Cook County (312) 666-3494
ANDREW EWBANK MD
Obstetrics & Gynecology
1701 W SUPERIOR ST
CHICAGO, IL 60622
Cook County (312) 666-3494
JESSICA ALFEREZ APRN, FNP-BC
Nurse Practitioner (Family)
1701 W SUPERIOR ST
CHICAGO, IL 60622
Cook County (312) 432-2056
DR. FRED DAVID RACHMAN M.D.
Pediatrics
1701 W SUPERIOR ST
CHICAGO, IL 60622
Cook County (312) 666-3494

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 Roman's NPI number?

The NPI number for Jessica Roman is 1083432413. It was assigned to this individual provider in the NPPES registry on October 3, 2024.

Where is Jessica Roman located?

Jessica Roman practices at 1701 W Superior St, Chicago, IL 60622. The listed phone number is (312) 666-3494.

What is Jessica Roman's specialty?

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

Is Jessica Roman enrolled in Medicare?

Yes. Jessica Roman 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 Jessica Roman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Roman reassigns Medicare benefits to Erie Family Health Center, Inc (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 Jessica Roman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Roman accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jessica Roman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Roman was last updated on October 3, 2024. 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.