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MR. JIMMUEL PLAZA MSN, APN, FNP-BC
NPI 1104219427
Nurse Practitioner - Family in Chicago, IL

Active since March 11, 2015PECOS Enrolled
676 N ST. CLAIR SUITE 800, NORTHWESTERN MEDICAL GROUP, CHICAGO, IL 60611(773) 988-3224 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jimmuel Plaza Msn, Apn, Fnp-bc NPPES

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

MR. JIMMUEL PLAZA MSN, APN, FNP-BC (NPI 1104219427) is an individual family provider in Chicago, Illinois, licensed in Illinois (209012400) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104219427
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JIMMUEL PLAZACredential: MSN, APN, FNP-BC
Location Address676 N ST. CLAIR SUITE 800, NORTHWESTERN MEDICAL GROUPChicago, IL 60611
Mailing Address5648 N Ridge Ave Apt 1wChicago, IL 60660-5521 · (773) 988-3224
Phone(773) 988-3224
Sole ProprietorNo
Enumeration DateMarch 11, 2015
✔ NPI 1104219427 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 · 209012400
676 N ST. CLAIR SUITE 800, Chicago, IL 60611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jimmuel Plaza Msn, Apn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60611 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.

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 Jimmuel Plaza's NPI number?

The NPI number for Jimmuel Plaza is 1104219427. It was assigned to this individual provider in the NPPES registry on March 11, 2015.

Where is Jimmuel Plaza located?

Jimmuel Plaza practices at 676 N St. Clair Suite 800 Northwestern Medical Group, Chicago, IL 60611. The listed phone number is (773) 988-3224.

What is Jimmuel Plaza's specialty?

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

Is Jimmuel Plaza enrolled in Medicare?

Yes. Jimmuel Plaza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jimmuel Plaza was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.