JENNIFER JEDRZEJCZAK
NPI 1093352080
Psychologist - Health in Hoffman Estates, IL

Active since December 09, 2019PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1650 MOON LAKE BLVD, HOFFMAN ESTATES, IL 60169(847) 755-8579 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2021, Dec 9, 2019 (2 updates tracked since 2019).

About Jennifer Jedrzejczak NPPES

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

JENNIFER JEDRZEJCZAK (NPI 1093352080) is an individual health provider in Hoffman Estates, Illinois, licensed in Illinois (071010198) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Huntley, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093352080
Entity TypeIndividualFemale
Primary Taxonomy103TH0004X
Provider Legal NameJENNIFER JEDRZEJCZAK
Location Address1650 MOON LAKE BLVDHoffman Estates, IL 60169-1010
Mailing Address435 Belmont LnBartlett, IL 60103-8958 · (630) 390-9008
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 9, 2019
Last NPPES UpdateJuly 19, 20212 updates tracked since enumeration
NPPES CertifiedJuly 19, 2021
NPI 1093352080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers
Taxonomy Code103TH0004X
License Licensed in IL · 071010198
Definition

A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:<ul><li>

Also ListedPsychologistTaxonomy 103T00000X · License 071010198 (IL)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071010198 (IL)
1650 MOON LAKE BLVD, Hoffman Estates, IL 60169

Secondary Practice Location 1

Location 110350 Haligus Rd Ste 200DHuntley, IL 60142-9545 · Phone (815) 334-5018 · Fax (847) 669-2980

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennifer Jedrzejczak 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 ID8325476351
PECOS Enrollment IDI20200325000971
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Counselor (Professional)
1650 MOON LAKE BLVD
HOFFMAN ESTATES, IL 60169
Counselor (Professional)
1650 MOON LAKE BLVD
HOFFMAN ESTATES, IL 60169
Psychiatry & Neurology (Psychiatry)
1650 MOON LAKE BLVD
HOFFMAN ESTATES, IL 60169
Nurse Practitioner (Family)
1650 MOON LAKE BLVD
HOFFMAN ESTATES, IL 60169
Psychiatry & Neurology (Psychiatry)
1650 MOON LAKE BLVD
HOFFMAN ESTATES, IL 60169
Nurse Practitioner (Psychiatric/Mental Health)
1650 MOON LAKE BLVD
HOFFMAN ESTATES, IL 60169
Counselor (Mental Health)
1650 MOON LAKE BLVD
HOFFMAN ESTATES, IL 60169
Nurse Practitioner (Psychiatric/Mental Health)
1650 MOON LAKE BLVD
HOFFMAN ESTATES, IL 60169

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 Jennifer Jedrzejczak's NPI number?

The NPI number for Jennifer Jedrzejczak is 1093352080. It was assigned to this individual provider in the NPPES registry on December 9, 2019.

Where is Jennifer Jedrzejczak located?

Jennifer Jedrzejczak practices at 1650 Moon Lake Blvd, Hoffman Estates, IL 60169. The listed phone number is (847) 755-8579.

What is Jennifer Jedrzejczak's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Is Jennifer Jedrzejczak enrolled in Medicare?

Yes. Jennifer Jedrzejczak 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.

When was this NPI record last updated?

The NPPES record for Jennifer Jedrzejczak was last updated on July 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.