JENNIFER NICOLE DICKERT RN
NPI 1235914532
Nurse Anesthetist, Certified Registered in North Chicago, IL

Active since August 28, 2023PECOS EnrolledAccepts Medicare Assignment
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064(630) 624-7034 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2025, Aug 14, 2025, Jul 2, 2025 and 1 more (4 updates tracked since 2023).

About Jennifer Nicole Dickert Rn NPPES

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

JENNIFER NICOLE DICKERT RN (NPI 1235914532) is an individual nurse anesthetist, certified registered in North Chicago, Illinois, licensed in Illinois (209.032655) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1235914532
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJENNIFER NICOLE DICKERTCredential: RN
Location Address3333 GREEN BAY RDNorth Chicago, IL 60064-3037
Mailing Address303 W Beech DrSchaumburg, IL 60193-1550 · (630) 624-7034
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 28, 2023
Last NPPES UpdateNovember 4, 20254 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1235914532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 209.032655
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041467912 (IL)
3333 GREEN BAY RD, North Chicago, IL 60064

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 Nicole Dickert Rn 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 ID7618477092
PECOS Enrollment IDI20250820004350
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 Dickert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2750 S RIVER RD
Des Plaines, IL 60018
  • Reassigned Medicare billing, Illinois enrollment
  • 18 clinicians in this Medicare group
Anesthesiology
701 WEST NORTH AVENUE
Melrose Park, IL 60160
  • Reassigned Medicare billing, Illinois enrollment
  • 78 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.

Hospital Affiliations CMS Care Compare

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

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60064 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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.

Psychiatry & Neurology (Psychiatry)
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Nurse Anesthetist, Certified Registered
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Student in an Organized Health Care Education/Training Program
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Student in an Organized Health Care Education/Training Program
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Registered Nurse
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Registered Nurse (Critical Care Medicine)
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Student in an Organized Health Care Education/Training Program
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064
Registered Nurse (Critical Care Medicine)
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064

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 Dickert's NPI number?

The NPI number for Jennifer Dickert is 1235914532. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Jennifer Dickert located?

Jennifer Dickert practices at 3333 Green Bay Rd, North Chicago, IL 60064. The listed phone number is (630) 624-7034.

What is Jennifer Dickert's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jennifer Dickert enrolled in Medicare?

Yes. Jennifer Dickert 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 Dickert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Dickert reassigns Medicare benefits to 2 organizations: Arete Anesthesia LLC (Des Plaines, IL) and Gottlieb Midwest Anesthesiologists, LLC (Melrose Park, 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 Dickert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jennifer Dickert affiliated with any hospitals?

According to CMS data, Jennifer Dickert is affiliated with Adventist La Grange Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Dickert was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.