JEAN RIDGEWAY NURSE PRACTITIONER
NPI 1215121314
Nurse Practitioner in Chicago, IL

Q: What is Jean Ridgeway's NPI number?

The NPI number for Jean Ridgeway is 1215121314. It was assigned to this individual provider in the NPPES registry on August 31, 2007.

Q: What is Jean Ridgeway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jean Ridgeway was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 31, 2007PECOS EnrolledAccepts Medicare Assignment

5841 S MARYLAND AVE, CHICAGO, IL 60637(773) 702-1000(773) 834-1918 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Jean Ridgeway Nurse Practitioner NPPES

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

JEAN RIDGEWAY NURSE PRACTITIONER (NPI 1215121314) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209-006202) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and maintains a secondary practice location in Libertyville.

NPPES Registry Identity

NPI1215121314

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJEAN RIDGEWAYCredential: NURSE PRACTITIONER

Location Address5841 S MARYLAND AVEChicago, IL 60637-1447

Mailing Address5841 S Maryland AveChicago, IL 60637-1447 · (773) 702-1000 · Fax (773) 834-1918

Phone(773) 702-1000

Fax(773) 834-1918

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 31, 2007

Last NPPES UpdateFebruary 26, 2026

NPPES CertifiedFebruary 26, 2026

✔ NPI 1215121314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209-006202

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License 209-004396 (IL)

5841 S MARYLAND AVE, Chicago, IL 60637

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Secondary Practice Location 1

Location 11800 Hollister Dr Ste 112Libertyville, IL 60048-5265 · Phone (847) 367-6781

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

Jean Ridgeway Nurse Practitioner 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 ID6901870716

PECOS Enrollment IDI20040825001273

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.

Hospital Affiliations CMS Care Compare 2

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

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140182

Location836 West Wellington AvenueChicago, IL 60657 · Cook County

Emergency services Birthing friendly

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 60637 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.

DR. DON MARTINEZ M.D.

Radiology (Diagnostic Radiology)