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JAY DECLARADOR
NPI 1417460502
Nurse Practitioner in Chicago, IL

Active since November 10, 2017PECOS Enrolled
332 S MICHIGAN AVE, CHICAGO, IL 60604(888) 660-4425 Get Directions Write a Review

NPPES record last updated: November 10, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jay Declarador NPPES

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

JAY DECLARADOR (NPI 1417460502) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209016591) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417460502
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJAY DECLARADOR
Location Address332 S MICHIGAN AVEChicago, IL 60604-4434
Mailing Address5450 Astor Ln Apt 418Rolling Meadows, IL 60008-4116 · (847) 259-7173
Phone(888) 660-4425
Sole ProprietorNo
Enumeration DateNovember 10, 2017
✔ NPI 1417460502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209016591
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

332 S MICHIGAN AVE, Chicago, IL 60604
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay Declarador 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
811 services68 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
95 services45 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
45 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60604 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
2 suppliers17 claims510 services$4.35 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
2 suppliers17 claims170 services$2.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ERICA EUREKA COWANS
Behavior Technician
332 S MICHIGAN AVE
CHICAGO, IL 60604
Cook County (888) 832-6727
DANIELA MICHELLE VIDAL LCSW
Social Worker (Clinical)
332 S MICHIGAN AVE, SUITE 121 #5125
CHICAGO, IL 60604
Cook County (312) 308-0218
CHANTELLE HARDEMAN
Homemaker
332 S MICHIGAN AVE
CHICAGO, IL 60604
Cook County (773) 633-7479
LAURIE MARINGER LCSW
Social Worker (Clinical)
332 S MICHIGAN AVE, SUITE 121 #5452
CHICAGO, IL 60604
Cook County (312) 635-5383
MARY ANN AVILA-CANTORE APN, FNP-C
Nurse Practitioner (Family)
332 S MICHIGAN AVE, 1100
CHICAGO, IL 60604
Cook County (888) 660-4425
JESUS MORALES BCBA
Behavior Analyst
332 S MICHIGAN AVE, STE 900
CHICAGO, IL 60604
Cook County (855) 832-6727
CARLINA HILL RMA
Technician, Pathology (Phlebotomy)
332 S MICHIGAN AVE
CHICAGO, IL 60604
Cook County (888) 923-4272
MS. ASANTEWAH DANIELS APN
Nurse Practitioner (Primary Care)
332 S MICHIGAN AVE
CHICAGO, IL 60604
Cook County (708) 874-0393

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 Jay Declarador's NPI number?

The NPI number for Jay Declarador is 1417460502. It was assigned to this individual provider in the NPPES registry on November 10, 2017.

Where is Jay Declarador located?

Jay Declarador practices at 332 S Michigan Ave, Chicago, IL 60604. The listed phone number is (888) 660-4425.

What is Jay Declarador's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jay Declarador enrolled in Medicare?

Yes. Jay Declarador is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jay Declarador was last updated on November 10, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.