JENNIFER SOSTAK AGACNP
NPI 1174912505
Nurse Practitioner - Acute Care in Chicago, IL

Active since January 22, 2015PECOS EnrolledAccepts Medicare Assignment
1611 W HARRISON ST, CHICAGO, IL 60612(312) 942-5000 Get Directions Write a Review

NPPES record last updated: January 22, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Sostak Agacnp NPPES

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

JENNIFER SOSTAK AGACNP (NPI 1174912505) is an individual acute care provider in Chicago, Illinois, licensed in Illinois (209011729) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174912505
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJENNIFER SOSTAKCredential: AGACNP
Location Address1611 W HARRISON STChicago, IL 60612-4861
Mailing Address266 Hawthorne BlvdGlen Ellyn, IL 60137-4038
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 22, 2015
✔ NPI 1174912505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IL · 209011729
1611 W HARRISON ST, Chicago, IL 60612

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

Jennifer Sostak Agacnp 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 ID2567768310
PECOS Enrollment IDI20160304001039
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 Reassignments

2

Medicare enrollment records show Jennifer Sostak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
1611 W HARRISON ST, # 400
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 178 clinicians in this Medicare group
Orthopaedic Surgery
324 ROXBURY RD
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • 562 clinicians in this Medicare group

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 60612 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.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1611 W HARRISON ST, STE 400
CHICAGO, IL 60612
Plastic Surgery
1611 W HARRISON ST, 212
CHICAGO, IL 60612
Nurse Practitioner
1611 W HARRISON ST, SUITE 400
CHICAGO, IL 60612
Orthopaedic Surgery
1611 W HARRISON ST
CHICAGO, IL 60612
Pediatrics (Sports Medicine)
1611 W HARRISON ST, STE 400
CHICAGO, IL 60612
Specialist/Technologist (Athletic Trainer)
1611 W HARRISON ST, SUITE 300
CHICAGO, IL 60612
Physician Assistant
1611 W HARRISON ST, STE 300
CHICAGO, IL 60612
Otolaryngology
1611 W HARRISON ST, SUITE 550
CHICAGO, IL 60612

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 Sostak's NPI number?

The NPI number for Jennifer Sostak is 1174912505. It was assigned to this individual provider in the NPPES registry on January 22, 2015.

Where is Jennifer Sostak located?

Jennifer Sostak practices at 1611 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 942-5000.

What is Jennifer Sostak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jennifer Sostak enrolled in Medicare?

Yes. Jennifer Sostak 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 organizations bill Medicare for Jennifer Sostak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Sostak reassigns Medicare benefits to 2 organizations: Midwest Orthopaedics At Rush, LLC (Chicago, IL) and Orthomidwest, PLLC (Rockford, IL). Each 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 Jennifer Sostak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Sostak was last updated on January 22, 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.