JESSICA HOSSA MD
NPI 1255183638
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Jessica Hossa's NPI number?

The NPI number for Jessica Hossa is 1255183638. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Q: What is Jessica Hossa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Hossa was last updated on June 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 01, 2024PECOS Enrolled

1740 W TAYLOR ST, CHICAGO, IL 60612(312) 996-6765 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 21, 2024, Apr 1, 2024 (2 updates tracked since 2024).

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About Jessica Hossa Md NPPES

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

JESSICA HOSSA MD (NPI 1255183638) is an individual student in an organized health care education/training program in Chicago, Illinois, licensed in Illinois (125.084818) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Evergreen Park.

NPPES Registry Identity

NPI1255183638

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJESSICA HOSSACredential: MD

Location Address1740 W TAYLOR STChicago, IL 60612-7232

Mailing Address111 S Morgan St Apt 707Chicago, IL 60607-2733 · (815) 483-1359

Phone(312) 996-6765

Sole ProprietorYes

Enumeration DateApril 1, 2024

Last NPPES UpdateJune 21, 20242 updates tracked since enumeration

NPPES CertifiedJune 21, 2024

✔ NPI 1255183638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in IL · 125.084818

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1740 W TAYLOR ST, Chicago, IL 60612

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Secondary Practice Location 1

Location 12800 W 95th StEvergreen Park, IL 60805-2701 · Phone (708) 229-5685

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Hossa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.