JARED JOSEPH BANASZAK
NPI 1396414165
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since September 07, 2021PECOS EnrolledAccepts Medicare Assignment
1620 W HARRISON ST, CHICAGO, IL 60612(312) 942-6208 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jared Joseph Banaszak NPPES

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

JARED JOSEPH BANASZAK (NPI 1396414165) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209023839) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396414165
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJARED JOSEPH BANASZAK
Location Address1620 W HARRISON STChicago, IL 60612-3801
Mailing Address2453 N Avers Ave Apt 2rChicago, IL 60647-2252 · (262) 939-9109
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 7, 2021
NPPES CertifiedSeptember 7, 2021
NPI 1396414165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 209023839
1620 W HARRISON ST, Chicago, IL 60612

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jared Joseph Banaszak 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 ID3779974902
PECOS Enrollment IDI20211227000041
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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 20

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

Internal Medicine
1620 W HARRISON ST
CHICAGO, IL 60612
Radiology (Vascular & Interventional Radiology)
1620 W HARRISON ST
CHICAGO, IL 60612
Obstetrics & Gynecology
1620 W HARRISON ST
CHICAGO, IL 60612
Internal Medicine
1620 W HARRISON ST
CHICAGO, IL 60612
Nurse Practitioner (Gerontology)
1620 W HARRISON ST
CHICAGO, IL 60612
Psychiatry & Neurology (Psychiatry)
1620 W HARRISON ST
CHICAGO, IL 60612
Registered Nurse
1620 W HARRISON ST
CHICAGO, IL 60612
Occupational Therapist
1620 W HARRISON ST
CHICAGO, IL 60612

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 Jared Banaszak's NPI number?

The NPI number for Jared Banaszak is 1396414165. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Jared Banaszak located?

Jared Banaszak practices at 1620 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 942-6208.

What is Jared Banaszak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jared Banaszak enrolled in Medicare?

Yes. Jared Banaszak 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.

What insurance does Jared Banaszak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jared Banaszak 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 Jared Banaszak was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.