JACQUELINE PALM PA-C
NPI 1649728627
Physician Assistant in Chicago, IL

Active since September 19, 2016PECOS EnrolledAccepts Medicare Assignment
635 N DEARBORN ST STE 100, CHICAGO, IL 60654(312) 694-2273(312) 694-2129 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2024, Jan 28, 2020, Sep 19, 2016 (3 updates tracked since 2016).

About Jacqueline Palm Pa-c NPPES

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

JACQUELINE PALM PA-C (NPI 1649728627) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085007354) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Mercy College (2016).

NPPES Registry Identity

NPI1649728627
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELINE PALMCredential: PA-C
Location Address635 N DEARBORN ST STE 100Chicago, IL 60654-4618
Mailing Address635 N Dearborn St Ste 100Chicago, IL 60654-4618 · (312) 694-2273 · Fax (312) 694-2129
Fax(312) 694-2129
Sole ProprietorYes
Medical School CMSMercy CollegeGraduated 2016
Enumeration DateSeptember 19, 2016
Last NPPES UpdateDecember 10, 20243 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
NPI 1649728627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in IL · 085007354 Licensed in NY · 020101
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

635 N DEARBORN ST STE 100, Chicago, IL 60654

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

Jacqueline Palm Pa-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 ID4880973320
PECOS Enrollment IDI20200324000198
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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 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.
16 services16 patients

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 60654 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 20

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

Family Medicine
635 N DEARBORN ST STE 100
CHICAGO, IL 60654
Nurse Practitioner (Family)
635 N DEARBORN ST STE 100
CHICAGO, IL 60654
Family Medicine
635 N DEARBORN ST STE 100
CHICAGO, IL 60654
Family Medicine
635 N DEARBORN ST STE 100
CHICAGO, IL 60654
Physician Assistant
635 N DEARBORN ST STE 100
CHICAGO, IL 60654
Nurse Practitioner (Family)
635 N DEARBORN ST STE 100
CHICAGO, IL 60654
Family Medicine
635 N DEARBORN ST STE 100
CHICAGO, IL 60654
Physician Assistant
635 N DEARBORN ST STE 100
CHICAGO, IL 60654

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 Jacqueline Palm's NPI number?

The NPI number for Jacqueline Palm is 1649728627. It was assigned to this individual provider in the NPPES registry on September 19, 2016.

Where is Jacqueline Palm located?

Jacqueline Palm practices at 635 N Dearborn St Ste 100, Chicago, IL 60654. The listed phone number is (312) 694-2273.

What is Jacqueline Palm's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacqueline Palm enrolled in Medicare?

Yes. Jacqueline Palm 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 Jacqueline Palm affiliated with any hospitals?

According to CMS data, Jacqueline Palm is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Palm was last updated on December 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.