STACI VANDERJACK M.D.
NPI 1427318666
Family Medicine in Oak Lawn, IL

Q: What is Staci Vanderjack's NPI number?

The NPI number for Staci Vanderjack is 1427318666. It was assigned to this individual provider in the NPPES registry on May 22, 2012.

Q: What is Staci Vanderjack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Staci Vanderjack was last updated on December 10, 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.

Active since May 22, 2012PECOS EnrolledAccepts Medicare Assignment

9555 S 52ND AVE STE F, OAK LAWN, IL 60453(708) 422-5700(708) 422-8225 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2021, Feb 21, 2018 (2 updates tracked since 2018).

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About Staci Vanderjack M.d. NPPES

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

STACI VANDERJACK M.D. (NPI 1427318666) is an individual family medicine provider in Oak Lawn, Illinois, licensed in Illinois (036.136063) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Advocate Christ Hospital & Medical Center, and maintains a secondary practice location in Hometown.

NPPES Registry Identity

NPI1427318666

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTACI VANDERJACKCredential: M.D.

Location Address9555 S 52ND AVE STE FOak Lawn, IL 60453-3054

Mailing Address9555 S 52nd Ave Ste FOak Lawn, IL 60453-3054 · (708) 422-5700 · Fax (708) 422-8225

Phone(708) 422-5700

Fax(708) 422-8225

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2012

Enumeration DateMay 22, 2012

Last NPPES UpdateDecember 10, 20212 updates tracked since enumeration

NPPES CertifiedDecember 10, 2021

✔ NPI 1427318666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036.136063

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9555 S 52ND AVE STE F, Oak Lawn, IL 60453

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Secondary Practice Location 1

Location 14140 Southwest HwyHometown, IL 60456-1135 · Phone (708) 422-5700 · Fax (708) 422-8225

Accepted Insurance

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

Staci Vanderjack M.d. 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 ID7719100627

PECOS Enrollment IDI20151002000166

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 10

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

94 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

70 services55 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

51 services39 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

32 services18 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

28 services16 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

22 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140208

Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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.

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Other Providers at the Same Location NPPES 2

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

DR. ROXANNE E SMITH MD

Family Medicine

9555 S 52ND AVE STE F
OAK LAWN, IL 60453

Cook County (708) 422-5700

DR. LOVELLA DURU KANU M.D.

Family Medicine

9555 S 52ND AVE STE F
OAK LAWN, IL 60453

Cook County (708) 422-5700

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 Staci Vanderjack's NPI number?

The NPI number for Staci Vanderjack is 1427318666. It was assigned to this individual provider in the NPPES registry on May 22, 2012.

Where is Staci Vanderjack located?

Staci Vanderjack practices at 9555 S 52nd Ave Ste F, Oak Lawn, IL 60453. The listed phone number is (708) 422-5700.

What is Staci Vanderjack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Staci Vanderjack enrolled in Medicare?

Yes. Staci Vanderjack 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 Staci Vanderjack accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Staci Vanderjack 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.

Is Staci Vanderjack affiliated with any hospitals?

According to CMS data, Staci Vanderjack is affiliated with Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Staci Vanderjack was last updated on December 10, 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.