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OFELIA JACZKO
NPI 1841177953
Nurse Practitioner - Primary Care in Chicago, IL

Active since August 19, 2025PECOS EnrolledAccepts Medicare Assignment
4770 N MANOR AVE APT 403, CHICAGO, IL 60625(312) 730-4444 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ofelia Jaczko NPPES

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

OFELIA JACZKO (NPI 1841177953) is an individual primary care provider in Chicago, Illinois, licensed in Illinois (209030576) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1841177953
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameOFELIA JACZKO
Location Address4770 N MANOR AVE APT 403Chicago, IL 60625-7182
Mailing Address4770 N Manor Ave Apt 403Chicago, IL 60625-7182 · (312) 730-4444
Phone(312) 730-4444
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1841177953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IL · 209030576
4770 N MANOR AVE APT 403, Chicago, IL 60625
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.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

Ofelia Jaczko 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 ID9032605191
PECOS Enrollment IDI20251229002052
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 Ofelia Jaczko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pcc Community Wellness Center
6.7 mi
Federally Qualified Health Center (FQHC)
14 LAKE ST
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 221 clinicians in this Medicare group
NPI 1871516799 (708) 383-0113

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 60625 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.

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 Ofelia Jaczko's NPI number?

The NPI number for Ofelia Jaczko is 1841177953. It was assigned to this individual provider in the NPPES registry on August 19, 2025.

Where is Ofelia Jaczko located?

Ofelia Jaczko practices at 4770 N Manor Ave Apt 403, Chicago, IL 60625. The listed phone number is (312) 730-4444.

What is Ofelia Jaczko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Ofelia Jaczko enrolled in Medicare?

Yes. Ofelia Jaczko 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 Ofelia Jaczko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ofelia Jaczko reassigns Medicare benefits to Pcc Community Wellness Center (Oak Park, 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 Ofelia Jaczko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ofelia Jaczko accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ofelia Jaczko 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 Ofelia Jaczko was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.