JONATHAN DAVID WONG DNP, APRN, FNP-C
NPI 1568200251
Nurse Practitioner - Family in Waukegan, IL

Q: What is Jonathan Wong's NPI number?

The NPI number for Jonathan Wong is 1568200251. It was assigned to this individual provider in the NPPES registry on July 17, 2024.

Q: What is Jonathan Wong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonathan Wong was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 17, 2024PECOS EnrolledAccepts Medicare Assignment

2323 GRAND AVE, WAUKEGAN, IL 60085(847) 666-3494 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jonathan David Wong Dnp, Aprn, Fnp-c NPPES

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

JONATHAN DAVID WONG DNP, APRN, FNP-C (NPI 1568200251) is an individual family provider in Waukegan, Illinois, licensed in Illinois (041.497428) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Northwestern Lake Forest Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1568200251

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJONATHAN DAVID WONGCredential: DNP, APRN, FNP-C

Location Address2323 GRAND AVEWaukegan, IL 60085-3312

Mailing Address1379 Osage Orange RdGrayslake, IL 60030-3524 · (847) 643-6253

Phone(847) 666-3494

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 17, 2024

NPPES CertifiedJune 18, 2024

✔ NPI 1568200251 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 · 041.497428

2323 GRAND AVE, Waukegan, IL 60085

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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

Jonathan David Wong Dnp, Aprn, Fnp-c 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 ID244770709

PECOS Enrollment IDI20240911000501

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 Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140130

Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60085 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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 19

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

BRADEN HAROLD DANBURY

Hospitalist