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JESSICA GARCIA-OTERO APN
NPI 1811505811
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since July 16, 2020PECOS EnrolledAccepts Medicare Assignment
81.54/100
CMS Quality Rating
2601 W MARQUETTE RD, CHICAGO, IL 60629(773) 565-2550 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Garcia-otero Apn NPPES

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

JESSICA GARCIA-OTERO APN (NPI 1811505811) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209021259) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811505811
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJESSICA GARCIA-OTEROCredential: APN
Location Address2601 W MARQUETTE RDChicago, IL 60629-1817
Mailing Address12716 S Saginaw AveChicago, IL 60633-1752 · (773) 934-0630
Phone(773) 565-2550
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 16, 2020
NPPES CertifiedJuly 16, 2020
✔ NPI 1811505811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209021259
2601 W MARQUETTE RD, Chicago, IL 60629
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Jessica Garcia-otero Apn 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 ID3072939347
PECOS Enrollment IDI20200817003718
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 Reassignments

3

Medicare enrollment records show Jessica Garcia-otero reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mount Sinai Community Foudation
0.1 mi
Internal Medicine
2701 W 68TH ST
Chicago, IL 60629
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Mount Sinai Community Foundation
  • 646 clinicians in this Medicare group
NPI 1104242718 (773) 884-7920
Riveredge Hospital Inc
9.7 mi
Psychiatric Hospital
8311 ROOSEVELT RD
Forest Park, IL 60130
  • Reassigned Medicare billing, Illinois enrollment
  • 45 clinicians in this Medicare group
NPI 1710070701 (708) 771-7000
Jiva Psychiatry, PLLC
30 mi
Psychiatry
630 N NORTH CT STE 180
Palatine, IL 60067
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1174316293 (708) 789-5669

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60629 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.

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.

81.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.35
Improvement Activities40
Cost100

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.

MILLICENT NTIAMOAH MSW
Social Worker
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (312) 655-5123
KELSHA REYES
Counselor (Addiction (Substance Use Disorder))
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (773) 808-2953
MRS. ZINNIA CARVAJAL MA, ICDVP
Counselor (Mental Health)
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (312) 361-4809
SOPHIA B HALIM
Social Worker
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (773) 349-8050
NICOLLE M GAUDETTE
Counselor (Mental Health)
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (312) 720-3287
ALEXANDRIA SIMONE TAYLOR LSW
Doula
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (773) 349-8031
ARELYS PEREZ LCSW
Social Worker (Clinical)
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (773) 565-2550
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF CHICAGO
Clinic/Center (Mental Health (Including Community Mental Health Center))
2601 W MARQUETTE RD
CHICAGO, IL 60629
Cook County (312) 655-7700

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 Jessica Garcia-otero's NPI number?

The NPI number for Jessica Garcia-otero is 1811505811. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Where is Jessica Garcia-otero located?

Jessica Garcia-otero practices at 2601 W Marquette Rd, Chicago, IL 60629. The listed phone number is (773) 565-2550.

What is Jessica Garcia-otero's specialty?

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

Is Jessica Garcia-otero enrolled in Medicare?

Yes. Jessica Garcia-otero 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 organizations bill Medicare for Jessica Garcia-otero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Garcia-otero reassigns Medicare benefits to 3 organizations: Mount Sinai Community Foudation (Chicago, IL), Riveredge Hospital Inc (Forest Park, IL) and Jiva Psychiatry, PLLC (Palatine, IL). Each 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 Jessica Garcia-otero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Garcia-otero accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Jessica Garcia-otero 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 Jessica Garcia-otero was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.