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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: October 25, 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
Phone(312) 942-6208
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jared Banaszak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rush University Medical Center
Same address
Diagnostic Radiology
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
NPI 1184269425 (312) 563-4270

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 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.

NICHOLAS RIGLER
Internal Medicine
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
KABEER RAJAN MASIH MD
Radiology (Vascular & Interventional Radiology)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
MARGARET C SCHERMERHORN MD
Obstetrics & Gynecology
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
ANDREW MAX MELCHIORIS MD, MBA
Internal Medicine
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (314) 942-5000
NICOLE HALEY SULIMA DNP
Nurse Practitioner (Gerontology)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
KRINA PATEL MD
Psychiatry & Neurology (Psychiatry)
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
LAYNE MITCHELL BESSA
Registered Nurse
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5000
COLETTE MITCHELL OT
Occupational Therapist
1620 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5800

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.

Which organization bills Medicare for Jared Banaszak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Banaszak reassigns Medicare benefits to Rush University Medical Center (Chicago, IL). The 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 Jared Banaszak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Banaszak accept?

Health plans from Ambetter Health and Ambetter Health of Delaware 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 5 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.