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

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: August 30, 2026.

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

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.

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.

MRS. CATHLEEN CONWAY JENSEN OTR/L
Occupational Therapist
1740 W TAYLOR ST, C100
CHICAGO, IL 60612
Cook County (312) 996-3700
KELLY M HOYERT PA-C
Physician Assistant (Surgical)
1740 W TAYLOR ST, 3F OCC
CHICAGO, IL 60612
Cook County (312) 355-4300
DR. YI-LOONG COLIN WOON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
VIDHI SRIVASTAVA MD
Anesthesiology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
AMY PHAM D.O.
Pediatrics (Neonatal-Perinatal Medicine)
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
WILSON CHING M.D.
Family Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
ADRIENNE BERMAN MD
Ophthalmology
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (866) 600-2273
JOSEPH S COLLA M.D.
Emergency Medicine
1740 W TAYLOR ST
CHICAGO, IL 60612
Cook County (312) 996-8177

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 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.

Where is Jessica Hossa located?

Jessica Hossa practices at 1740 W Taylor St, Chicago, IL 60612. The listed phone number is (312) 996-6765.

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.

Is Jessica Hossa enrolled in Medicare?

Yes. Jessica Hossa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Hossa was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.