JERIC AGNES FNP-BC
NPI 1114532611
Nurse Practitioner - Adult Health in Long Grove, IL

Active since September 10, 2020PECOS EnrolledAccepts Medicare Assignment
3880 SALEM LAKE DR STE F, LONG GROVE, IL 60047(847) 719-2220(847) 719-2265 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 25, 2023, Aug 4, 2022, Sep 10, 2020 (3 updates tracked since 2020).

About Jeric Agnes Fnp-bc NPPES

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

JERIC AGNES FNP-BC (NPI 1114532611) is an individual adult health provider in Long Grove, Illinois, licensed in Illinois (209021968) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Advocate Condell Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1114532611
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameJERIC AGNESCredential: FNP-BC
Location Address3880 SALEM LAKE DR STE FLong Grove, IL 60047-5292
Mailing Address3880 Salem Lake Dr Ste FLong Grove, IL 60047-5292 · (847) 719-2220 · Fax (847) 719-2265
Fax(847) 719-2265
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 10, 2020
Last NPPES UpdateOctober 25, 20233 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
NPI 1114532611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in IL · 209021968
Also ListedRegistered NurseTaxonomy 163W00000X · License 041435789 (IL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209021968 (IL)
3880 SALEM LAKE DR STE F, Long Grove, IL 60047

Other Identifiers 2

Medicaid209021968IL
OtherMA6346173IL · Dea

Accepted Insurance

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

Jeric Agnes 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 ID4284037722
PECOS Enrollment IDI20220921002205
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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
59 services59 patients

Hospital Affiliations CMS Care Compare

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

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60047 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Nurse Practitioner (Adult Health)
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Internal Medicine
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Family Medicine
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Internal Medicine
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Nurse Practitioner (Adult Health)
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Internal Medicine
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Nurse Practitioner (Family)
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047
Nurse Practitioner (Adult Health)
3880 SALEM LAKE DR STE F
LONG GROVE, IL 60047

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 Jeric Agnes's NPI number?

The NPI number for Jeric Agnes is 1114532611. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Jeric Agnes located?

Jeric Agnes practices at 3880 Salem Lake Dr Ste F, Long Grove, IL 60047. The listed phone number is (847) 719-2220.

What is Jeric Agnes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jeric Agnes enrolled in Medicare?

Yes. Jeric Agnes 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.

What insurance does Jeric Agnes accept?

Health plans from UnitedHealthcare list Jeric Agnes 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.

Is Jeric Agnes affiliated with any hospitals?

According to CMS data, Jeric Agnes is affiliated with Advocate Condell Medical Center.

When was this NPI record last updated?

The NPPES record for Jeric Agnes was last updated on October 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.