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JEP HEALTHCARE PROVIDER, LLC
NPI 1730582990
Nurse Practitioner - Family in Mundelein, IL

Active since October 02, 2014
1330 KETTERING RD, MUNDELEIN, IL 60060(847) 287-9102(847) 388-4711 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jep Healthcare Provider, Llc NPPES

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

JEP HEALTHCARE PROVIDER, LLC (NPI 1730582990) is a healthcare organization registered as a family in Mundelein, Illinois and active in the NPI registry since October 2014. The organization lists Joseph Escobar, President, as its authorized official.

NPPES Registry Identity

NPI1730582990
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameJEP HEALTHCARE PROVIDER, LLC
Location Address1330 KETTERING RDMundelein, IL 60060-5364
Mailing Address1330 Kettering RdMundelein, IL 60060-5364 · (847) 388-4711
Phone(847) 287-9102
Fax(847) 388-4711
Organization SubpartNo
Authorized OfficialJoseph EscobarPresident · (847) 287-9102
Enumeration DateOctober 2, 2014
✔ NPI 1730582990 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 · 209009807
1330 KETTERING RD, Mundelein, IL 60060
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jep Healthcare Provider, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jep Healthcare Provider, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Joseph Escobar, ANP
Nurse Practitioner
NPI 1538419544
1330 KETTERING RD
Mundelein, IL 60060
(847) 566-2193
✔ PECOS✔ Accepts MedicareSame address
Ferdinand Catotal, FNP
Nurse Practitioner
NPI 1538681572
1554 TODD FARM DR
Elgin, IL 60123
(847) 888-7423
✔ PECOS✔ Accepts Medicare21 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jep Healthcare Provider, LLC's NPI number?

The NPI number for Jep Healthcare Provider, LLC is 1730582990. It was assigned to this organization in the NPPES registry on October 2, 2014.

Where is Jep Healthcare Provider, LLC located?

Jep Healthcare Provider, LLC is located at 1330 Kettering Rd, Mundelein, IL 60060. The listed phone number is (847) 287-9102.

What is Jep Healthcare Provider, LLC's specialty?

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

Is Jep Healthcare Provider, LLC enrolled in Medicare?

Yes. Jep Healthcare Provider, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jep Healthcare Provider, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Jep Healthcare Provider, LLC. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jep Healthcare Provider, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Jep Healthcare Provider, LLC 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 Jep Healthcare Provider, LLC was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.