MISS JACQUELYN L HENRY APRN, CNP
NPI 1255876496
Nurse Practitioner in Chicago, IL
About Miss Jacquelyn L Henry Aprn, Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS JACQUELYN L HENRY APRN, CNP (NPI 1255876496) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209015275) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
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
Miss Jacquelyn L Henry Aprn, Cnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacquelyn Henry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 clinicians in this Medicare group
Fort Collins, CO 80524
- Reassigned Medicare billing, Colorado enrollment
- 4,283 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
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 Jacquelyn Henry's NPI number?
The NPI number for Jacquelyn Henry is 1255876496. It was assigned to this individual provider in the NPPES registry on December 26, 2016.
Where is Jacquelyn Henry located?
Jacquelyn Henry practices at 675 N Saint Clair St Ste 19-100, Chicago, IL 60611. The listed phone number is (312) 664-3278.
What is Jacquelyn Henry's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jacquelyn Henry enrolled in Medicare?
Yes. Jacquelyn Henry 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 Jacquelyn Henry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Henry reassigns Medicare benefits to 2 organizations: Northwestern Medical Faculty Foundation (Carol Stream, IL) and University Physicians Incorporated (Fort Collins, CO). 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 Jacquelyn Henry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelyn Henry accept?
Health plans from Select Health and UnitedHealthcare list Jacquelyn Henry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jacquelyn Henry was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.
# Miss Jacquelyn L Henry, APRN, CNP · NPI 1255876496
Nurse Practitioner physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since December 26, 2016.
## Identity
- **NPI:** 1255876496 (Entity type: Individual)
- **Enumerated:** December 26, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209015275 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 675 N SAINT CLAIR ST STE 19-100, Chicago, IL 60611-5969
- **Phone:** (312) 664-3278 · **Fax:** (312) 695-5774
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL); University Physicians Incorporated (NPI 1386215168, Fort Collins, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 23, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1255876496) · Data from the CMS NPPES public registry.