1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Nurse Practitioner
  6. NPI Profile

MRS. JENNIFER A CARVAJAL APN
NPI 1558910265
Nurse Practitioner - Family in Chicago, IL

Active since September 05, 2019PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
259 E ERIE ST FL 16, CHICAGO, IL 60611(312) 695-6868 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2019, Sep 5, 2019 (2 updates tracked since 2019).

About Mrs. Jennifer A Carvajal Apn NPPES

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

MRS. JENNIFER A CARVAJAL APN (NPI 1558910265) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.019997) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1558910265
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JENNIFER A CARVAJALCredential: APN
Location Address259 E ERIE ST FL 16Chicago, IL 60611-2987
Mailing Address680 N Lake Shore DrChicago, IL 60611-4546 · (312) 695-6868
Phone(312) 695-6868
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 5, 2019
Last NPPES UpdateNovember 4, 20192 updates tracked since enumeration
✔ NPI 1558910265 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 · 209.019997
259 E ERIE ST FL 16, Chicago, IL 60611
Open in Google Maps ↗

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

Mrs. Jennifer A Carvajal Apn 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 ID42645913
PECOS Enrollment IDI20200123000353
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.

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

JASMINE JOHNSON MS, RD, LD
Dietitian, Registered
259 E ERIE ST FL 16
CHICAGO, IL 60611
Cook County (312) 695-7070
ANNE M STEY MD
Surgery (Trauma Surgery)
259 E ERIE ST FL 16
CHICAGO, IL 60611
Cook County (312) 695-8918
DR. ALEXANDRA BAUMANN D.O.
Internal Medicine (Gastroenterology)
259 E ERIE ST FL 16
CHICAGO, IL 60611
Cook County (312) 695-5620
AMY ROSE ARBUS RD
Dietitian, Registered
259 E ERIE ST FL 16
CHICAGO, IL 60611
Cook County (312) 695-7070
DR. SARA HOFFMAN PHD
Psychologist (Clinical)
259 E ERIE ST FL 16
CHICAGO, IL 60611
Cook County (312) 629-2620
HAZEL DHATES ASUNIO DOMINGO PA-C
Physician Assistant
259 E ERIE ST FL 16
CHICAGO, IL 60611
Cook County (312) 695-5620
DR. KATHRYN NOTH TOMASINO PH.D.
Psychologist (Clinical)
259 E ERIE ST FL 16, LAVIN FAMILY PAVILION
CHICAGO, IL 60611
Cook County (312) 629-2620
RICHARD GREEN MD
Internal Medicine (Gastroenterology)
259 E ERIE ST FL 16
CHICAGO, IL 60611
Cook County (312) 695-5620

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 Carvajal's NPI number?

The NPI number for Jennifer Carvajal is 1558910265. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Jennifer Carvajal located?

Jennifer Carvajal practices at 259 E Erie St Fl 16, Chicago, IL 60611. The listed phone number is (312) 695-6868.

What is Jennifer Carvajal's specialty?

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

Is Jennifer Carvajal enrolled in Medicare?

Yes. Jennifer Carvajal 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.

Is Jennifer Carvajal affiliated with any hospitals?

According to CMS data, Jennifer Carvajal is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Carvajal was last updated on November 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.