JENNIFER STASKOWICZ N.P.-C
NPI 1346793742
Nurse Practitioner - Family in Chicago, IL

Active since August 02, 2016PECOS Enrolled
635 N FAIRBANKS CT, CHICAGO, IL 60611(312) 694-2273 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Mar 9, 2018 (2 updates tracked since 2018).

About Jennifer Staskowicz N.p.-c NPPES

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

JENNIFER STASKOWICZ N.P.-C (NPI 1346793742) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.014566) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Glen Ellyn.

NPPES Registry Identity

NPI1346793742
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER STASKOWICZCredential: N.P.-C
Location Address635 N FAIRBANKS CTChicago, IL 60611-5435
Mailing Address23w149 Blackcherry LnGlen Ellyn, IL 60137-7244 · (630) 474-6081
Sole ProprietorYes
Enumeration DateAugust 2, 2016
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1346793742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.014566
635 N FAIRBANKS CT, Chicago, IL 60611

Secondary Practice Location 1

Location 123W149 Blackcherry LnGlen Ellyn, IL 60137-7244 · Phone (630) 474-6081

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Staskowicz N.p.-c 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Staskowicz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
3118 N ASHLAND AVE
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 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.

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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
635 N FAIRBANKS CT
CHICAGO, IL 60611
Nurse Practitioner (Family)
635 N FAIRBANKS CT
CHICAGO, IL 60611
Nurse Practitioner
635 N FAIRBANKS CT
CHICAGO, IL 60611
Family Medicine
635 N FAIRBANKS CT
CHICAGO, IL 60611
Family Medicine
635 N FAIRBANKS CT
CHICAGO, IL 60611
Physician Assistant
635 N FAIRBANKS CT
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 Jennifer Staskowicz's NPI number?

The NPI number for Jennifer Staskowicz is 1346793742. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Jennifer Staskowicz located?

Jennifer Staskowicz practices at 635 N Fairbanks Ct, Chicago, IL 60611. The listed phone number is (312) 694-2273.

What is Jennifer Staskowicz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Staskowicz enrolled in Medicare?

Yes. Jennifer Staskowicz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Staskowicz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Staskowicz reassigns Medicare benefits to 2 organizations: Advocate Health And Hospitals Corp. (Chicago, IL) and Northwestern Medical Faculty Foundation (Carol Stream, 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 Staskowicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Staskowicz was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.