JESSICA LIST FNP-BC
NPI 1124620422
Nurse Practitioner - Family in Chicago, IL

Active since November 11, 2020PECOS EnrolledAccepts Medicare Assignment
1165 N CLARK ST, CHICAGO, IL 60610(866) 389-2727 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2025, Nov 2, 2022, Nov 11, 2020 (3 updates tracked since 2020).

About Jessica List Fnp-bc NPPES

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

JESSICA LIST FNP-BC (NPI 1124620422) is an individual family provider in Chicago, Illinois, licensed in Illinois (209022156) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124620422
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA LISTCredential: FNP-BC
Location Address1165 N CLARK STChicago, IL 60610-2702
Mailing Address1165 N Clark StChicago, IL 60610-2702
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 11, 2020
Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
NPI 1124620422 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 · 209022156
1165 N CLARK ST, Chicago, IL 60610

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

Jessica List 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 ID2466869490
PECOS Enrollment IDI20210318001248
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services21 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60610 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.

Counselor (Professional)
1165 N CLARK ST, SUITE 202
CHICAGO, IL 60610
Nurse Practitioner (Family)
1165 N CLARK ST
CHICAGO, IL 60610
Family Medicine
1165 N CLARK ST, SUITE 608
CHICAGO, IL 60610
Chiropractor
1165 N CLARK ST, SUITE 602
CHICAGO, IL 60610
Counselor
1165 N CLARK ST, SUITE 202
CHICAGO, IL 60610
Nurse Practitioner (Family)
1165 N CLARK ST
CHICAGO, IL 60610
Pharmacist
1165 N CLARK ST
CHICAGO, IL 60610
Nurse Practitioner (Family)
1165 N CLARK ST
CHICAGO, IL 60610

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 List's NPI number?

The NPI number for Jessica List is 1124620422. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Jessica List located?

Jessica List practices at 1165 N Clark St, Chicago, IL 60610. The listed phone number is (866) 389-2727.

What is Jessica List's specialty?

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

Is Jessica List enrolled in Medicare?

Yes. Jessica List 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 Jessica List accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jessica List 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 List was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.