PAMELA SUZANNE JACKS PORTNOY RN, FNP, DNP
NPI 1841562733
Nurse Practitioner - Family in Chicago, IL

Active since February 07, 2012PECOS EnrolledAccepts Medicare Assignment
1300 W BELMONT AVE STE 100, CHICAGO, IL 60657(773) 975-8900 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pamela Suzanne Jacks Portnoy Rn, Fnp, Dnp NPPES

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

PAMELA SUZANNE JACKS PORTNOY RN, FNP, DNP (NPI 1841562733) is an individual family provider in Chicago, Illinois, licensed in California (21608) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1841562733
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePAMELA SUZANNE JACKS PORTNOYCredential: RN, FNP, DNP
Location Address1300 W BELMONT AVE STE 100Chicago, IL 60657-3200
Mailing Address1300 W Belmont Ave Ste 100Chicago, IL 60657-3200 · (773) 975-8900 · Fax (773) 975-8901
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 7, 2012
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1841562733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 21608✔ Licensed in IL · 377-003662
Also ListedRegistered NurseTaxonomy 163W00000X · License 041-570423 (IL), 766010 (CA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 277-003899 (IL)
1300 W BELMONT AVE STE 100, Chicago, IL 60657

Other Names 1

Former Name (1)Pamela Suzanne Jacks

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

Pamela Suzanne Jacks Portnoy Rn, Fnp, Dnp 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 ID2466690078
PECOS Enrollment IDI20130521000114, I20250822000913
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

4

Medicare enrollment records show Pamela Suzanne Jacks Portnoy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
1,793 mi
Federally Qualified Health Center (FQHC)
954 SACRAMENTO AVE
West Sacramento, CA 95605
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Communicare Health Centers
  • 64 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
6066 CIVIC TERRACE AVE
Newark, CA 94560
  • Reassigned Medicare billing, California enrollment
  • 900 clinicians in this Medicare group
Primary Care
760 HARRISON ST
San Francisco, CA 94107
  • Reassigned Medicare billing, California enrollment
  • 1,573 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.

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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 3

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

Obstetrics & Gynecology
1300 W BELMONT AVE STE 100
CHICAGO, IL 60657
Registered Nurse
1300 W BELMONT AVE STE 100
CHICAGO, IL 60657
Family Medicine
1300 W BELMONT AVE STE 100
CHICAGO, IL 60657

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 Pamela Suzanne Jacks Portnoy's NPI number?

The NPI number for Pamela Suzanne Jacks Portnoy is 1841562733. It was assigned to this individual provider in the NPPES registry on February 7, 2012. The provider is also known as Pamela Suzanne Jacks.

Where is Pamela Suzanne Jacks Portnoy located?

Pamela Suzanne Jacks Portnoy practices at 1300 W Belmont Ave Ste 100, Chicago, IL 60657. The listed phone number is (773) 975-8900.

What is Pamela Suzanne Jacks Portnoy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Pamela Suzanne Jacks Portnoy enrolled in Medicare?

Yes. Pamela Suzanne Jacks Portnoy 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 Pamela Suzanne Jacks Portnoy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Suzanne Jacks Portnoy reassigns Medicare benefits to 4 organizations: Rush University Medical Center (Chicago, IL), Ole Health (West Sacramento, CA), Alameda Health System (Newark, CA) and City & County Of San Francisco (San Francisco, CA). 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 Pamela Suzanne Jacks Portnoy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pamela Suzanne Jacks Portnoy accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Pamela Suzanne Jacks Portnoy 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 Pamela Suzanne Jacks Portnoy affiliated with any hospitals?

According to CMS data, Pamela Suzanne Jacks Portnoy is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Pamela Suzanne Jacks Portnoy was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.