JACKLYN M GIDEON
NPI 1629515572
Nurse Practitioner - Adult Health in Chicago, IL
About Jacklyn M Gideon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKLYN M GIDEON (NPI 1629515572) is an individual adult health provider in Chicago, Illinois, licensed in Illinois (209015488) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacklyn M Gideon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jacklyn Gideon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 1,905 clinicians in this Medicare group
Chicago, IL 60637
- Reassigned Medicare billing, Illinois enrollment
- 2,237 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CHICAGO, IL 60637
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 Jacklyn Gideon's NPI number?
The NPI number for Jacklyn Gideon is 1629515572. It was assigned to this individual provider in the NPPES registry on January 30, 2017.
Where is Jacklyn Gideon located?
Jacklyn Gideon practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.
What is Jacklyn Gideon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Jacklyn Gideon enrolled in Medicare?
Yes. Jacklyn Gideon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacklyn Gideon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacklyn Gideon reassigns Medicare benefits to 2 organizations: The University Of Chicago Medical Center (Chicago, IL) and University Of Chicago (Chicago, IL). Each 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 Jacklyn Gideon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacklyn Gideon accept?
Health plans from Oscar Health list Jacklyn Gideon 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 Jacklyn Gideon was last updated on October 24, 2022. 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.
# Jacklyn M Gideon · NPI 1629515572
Adult Health physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since January 30, 2017.
## Identity
- **NPI:** 1629515572 (Entity type: Individual)
- **Enumerated:** January 30, 2017
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 209015488 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 5841 S MARYLAND AVE, Chicago, IL 60637-1443
- **Phone:** (888) 824-0200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The University Of Chicago Medical Center (NPI 1033218128, Chicago, IL); University Of Chicago (NPI 1821048786, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1629515572) · Data from the CMS NPPES public registry.