SUSANNAH JENSEN MD
NPI 1194977827
General Acute Care Hospital in Evanston, IL

Q: What is Susannah Jensen's NPI number?

The NPI number for Susannah Jensen is 1194977827. It was assigned to this individual provider in the NPPES registry on October 13, 2008.

Q: What is Susannah Jensen's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Q: When was this NPI record last updated?

The NPPES record for Susannah Jensen was last updated on April 8, 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.

Active since October 13, 2008PECOS EnrolledAccepts Medicare Assignment

2650 RIDGE AVE STE 5303, EVANSTON, IL 60201(847) 570-1463(847) 578-8647 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Susannah Jensen Md NPPES

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

SUSANNAH JENSEN MD (NPI 1194977827) is an individual general acute care hospital provider in Evanston, Illinois and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2005).

NPPES Registry Identity

NPI1194977827

Entity TypeIndividualFemale

Primary Taxonomy282N00000X

Provider Legal NameSUSANNAH JENSENCredential: MD

Location Address2650 RIDGE AVE STE 5303Evanston, IL 60201-1718

Mailing Address2650 Ridge Ave Ste 5303Evanston, IL 60201-1718

Phone(847) 570-1463

Fax(847) 578-8647

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2005

Enumeration DateOctober 13, 2008

Last NPPES UpdateApril 8, 2015

✔ NPI 1194977827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

2650 RIDGE AVE STE 5303, Evanston, IL 60201

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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

Susannah Jensen Md 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 ID4082873641

PECOS Enrollment IDI20150910001535

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

Medicare enrollment records show Susannah Jensen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group

Same address

Anesthesiology

2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201

Reassigned Medicare billing, Illinois enrollment
4,841 clinicians in this Medicare group

NPI 1265695944 (847) 570-2760

Rush Oak Park Nocturnist

14 mi

Internal Medicine

520 S MAPLE AVE
Oak Park, IL 60304

Reassigned Medicare billing, Illinois enrollment
60 clinicians in this Medicare group

NPI 1518260165 (708) 393-9300

Rush Oak Park Physicians Group Adult Medicine

14 mi

Adult Medicine

610 S MAPLE AVE, SUITE 4600
Oak Park, IL 60304

Reassigned Medicare billing, Illinois enrollment
51 clinicians in this Medicare group

NPI 1548531924 (708) 660-2240

The Queens Medical Center

4,245 mi

Urgent Care

377 KEAHOLE ST STE E108E109
Honolulu, HI 96825

Reassigned Medicare billing, Hawaii enrollment
809 clinicians in this Medicare group

NPI 1528691383 (808) 735-0007

Queens University Medical Group

4,251 mi

Multi-Specialty

1301 PUNCHBOWL ST
Honolulu, HI 96813

Reassigned Medicare billing, Hawaii enrollment
859 clinicians in this Medicare group

NPI 1891441382 (808) 691-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers16 claims16 services$14.15 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers24 claims24 services$61.57 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Susannah Jensen's NPI number?

The NPI number for Susannah Jensen is 1194977827. It was assigned to this individual provider in the NPPES registry on October 13, 2008.

Where is Susannah Jensen located?

Susannah Jensen practices at 2650 Ridge Ave Ste 5303, Evanston, IL 60201. The listed phone number is (847) 570-1463.

What is Susannah Jensen's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Susannah Jensen enrolled in Medicare?

Yes. Susannah Jensen 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 Susannah Jensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susannah Jensen reassigns Medicare benefits to 5 organizations: Endeavor Health Medical Group (Evanston, IL), Rush Oak Park Nocturnist (Oak Park, IL), Rush Oak Park Physicians Group Adult Medicine (Oak Park, IL), The Queens Medical Center (Honolulu, HI) and Queens University Medical Group (Honolulu, HI). 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 Susannah Jensen'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 Susannah Jensen was last updated on April 8, 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.