DR. JENNIFER NIERSTHEIMER PSY.D.
NPI 1780082396
Psychologist - Clinical in Gurnee, IL

Active since December 12, 2014PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
200 S GREENLEAF ST STE 200, GURNEE, IL 60031(847) 599-3611(847) 599-3637 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 30, 2021, Jun 24, 2020, Mar 11, 2019 and 1 more (4 updates tracked since 2015).

About Dr. Jennifer Nierstheimer Psy.d. NPPES

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

DR. JENNIFER NIERSTHEIMER PSY.D. (NPI 1780082396) is an individual clinical provider in Gurnee, Illinois, licensed in Illinois (071008980) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1780082396
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JENNIFER NIERSTHEIMERCredential: PSY.D.
Location Address200 S GREENLEAF ST STE 200Gurnee, IL 60031-3398
Mailing Address200 S Greenleaf St Ste 200Gurnee, IL 60031-3398 · (847) 599-3611 · Fax (847) 599-3637
Fax(847) 599-3637
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 12, 2014
Last NPPES UpdateMarch 30, 20214 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
✔ NPI 1780082396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071008980
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
200 S GREENLEAF ST STE 200, Gurnee, IL 60031

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer Nierstheimer Psy.d. 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 ID3678883428
PECOS Enrollment IDI20151105002339
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Nierstheimer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60031 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
$181.38 typical visit price
range $59.81 – $181.38
Typical copayment $45.34 (range $14.95 – $45.34)
Most-billed visit code 99205
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.

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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

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 Jennifer Nierstheimer's NPI number?

The NPI number for Jennifer Nierstheimer is 1780082396. It was assigned to this individual provider in the NPPES registry on December 12, 2014.

Where is Jennifer Nierstheimer located?

Jennifer Nierstheimer practices at 200 S Greenleaf St Ste 200, Gurnee, IL 60031. The listed phone number is (847) 599-3611.

What is Jennifer Nierstheimer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jennifer Nierstheimer enrolled in Medicare?

Yes. Jennifer Nierstheimer 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.

Which organization bills Medicare for Jennifer Nierstheimer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Nierstheimer reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, IL). The 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 Jennifer Nierstheimer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Nierstheimer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Health and UnitedHealthcare list Jennifer Nierstheimer 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.

Is Jennifer Nierstheimer affiliated with any hospitals?

According to CMS data, Jennifer Nierstheimer is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Nierstheimer was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.