JACOB EDWARD JOHNSON
NPI 1750278040
Nurse Practitioner - Critical Care Medicine in Park Ridge, IL
About Jacob Edward Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB EDWARD JOHNSON (NPI 1750278040) is an individual critical care medicine provider in Park Ridge, Illinois, licensed in Illinois (209-032261) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, is affiliated with Advocate Lutheran General Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Jacob Edward Johnson 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Advocate Lutheran General Hospital
Acute Care Hospitals · Park Ridge, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
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 Jacob Johnson's NPI number?
The NPI number for Jacob Johnson is 1750278040. It was assigned to this individual provider in the NPPES registry on June 20, 2025.
Where is Jacob Johnson located?
Jacob Johnson practices at 1775 Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 723-2210.
What is Jacob Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.
Is Jacob Johnson enrolled in Medicare?
Yes. Jacob Johnson 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 Jacob Johnson affiliated with any hospitals?
According to CMS data, Jacob Johnson is affiliated with Advocate Lutheran General Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Johnson was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Jacob Edward Johnson · NPI 1750278040
Critical Care Medicine physician in Park Ridge, Illinois. Individual provider, active in the CMS NPPES registry since June 20, 2025.
## Identity
- **NPI:** 1750278040 (Entity type: Individual)
- **Enumerated:** June 20, 2025
- **Primary specialty:** Nurse Practitioner - Critical Care Medicine · taxonomy 363LC0200X
- **State license:** 209-032261 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1775 DEMPSTER ST, Park Ridge, IL 60068-1143
- **Phone:** (847) 723-2210
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1750278040) · Data from the CMS NPPES public registry.