DR. JENNIFER PETERSON PMHNP
NPI 1801445754
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since September 04, 2019PECOS Enrolled
1440 N DAYTON ST, CHICAGO, IL 60642(312) 227-4000 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2023, Feb 5, 2020, Sep 4, 2019 (3 updates tracked since 2019).

About Dr. Jennifer Peterson Pmhnp NPPES

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

DR. JENNIFER PETERSON PMHNP (NPI 1801445754) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209018887) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1801445754
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. JENNIFER PETERSONCredential: PMHNP
Location Address1440 N DAYTON STChicago, IL 60642-2644
Mailing Address225 E Chicago Ave # 160Chicago, IL 60611-2991 · (312) 227-4000 · Fax (312) 227-9566
Sole ProprietorNo
Enumeration DateSeptember 4, 2019
Last NPPES UpdateMay 24, 20233 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
NPI 1801445754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 209018887
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 041402421 (IL)
1440 N DAYTON ST, Chicago, IL 60642

Secondary Practice Location 1

Location 1225 E Chicago AveChicago, IL 60611-2991 · Phone (312) 227-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jennifer Peterson Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60642 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
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES 8

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

Student in an Organized Health Care Education/Training Program
1440 N DAYTON ST
CHICAGO, IL 60642
Social Worker (Clinical)
1440 N DAYTON ST
CHICAGO, IL 60642
Clinic/Center (Rehabilitation, Substance Use Disorder)
1440 N DAYTON ST
CHICAGO, IL 60642
Psychologist (Clinical)
1440 N DAYTON ST
CHICAGO, IL 60642
Pediatrics (Adolescent Medicine)
1440 N DAYTON ST
CHICAGO, IL 60642
Nurse Practitioner (Pediatrics)
1440 N DAYTON ST
CHICAGO, IL 60642
Social Worker (Clinical)
1440 N DAYTON ST
CHICAGO, IL 60642
Psychologist (Clinical Child & Adolescent)
1440 N DAYTON ST
CHICAGO, IL 60642

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 Peterson's NPI number?

The NPI number for Jennifer Peterson is 1801445754. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Jennifer Peterson located?

Jennifer Peterson practices at 1440 N Dayton St, Chicago, IL 60642. The listed phone number is (312) 227-4000.

What is Jennifer Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jennifer Peterson enrolled in Medicare?

Yes. Jennifer Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Peterson was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.