MR. JEREMY A HOUTAKKER P.A.
NPI 1902092109
Physician Assistant - Surgical in Crystal Lake, IL

Q: What is Jeremy Houtakker's NPI number?

The NPI number for Jeremy Houtakker is 1902092109. It was assigned to this individual provider in the NPPES registry on September 20, 2007.

Q: What is Jeremy Houtakker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Houtakker was last updated on September 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since September 20, 2007PECOS EnrolledAccepts Medicare Assignment

750 E TERRA COTTA AVE, SUITE C, CRYSTAL LAKE, IL 60014(815) 455-0800(815) 455-2895 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Jeremy A Houtakker P.a. NPPES

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

MR. JEREMY A HOUTAKKER P.A. (NPI 1902092109) is an individual surgical provider in Crystal Lake, Illinois and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Harvard Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1902092109

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. JEREMY A HOUTAKKERCredential: P.A.

Location Address750 E TERRA COTTA AVE, SUITE CCrystal Lake, IL 60014-3621

Mailing Address750 E Terra Cotta Ave, Suite CCrystal Lake, IL 60014-3621 · (815) 455-0800 · Fax (815) 455-2895

Phone(815) 455-0800

Fax(815) 455-2895

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 20, 2007

✔ NPI 1902092109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

750 E TERRA COTTA AVE, Crystal Lake, IL 60014

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jeremy A Houtakker P.a. 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 ID941374052

PECOS Enrollment IDI20101008001073

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.

Hospital Affiliations CMS Care Compare 4

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

Mercy Harvard Hospital

Critical Access Hospitals · Harvard, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141335

Location901 S Grant StreetHarvard, IL 60033 · Mc Henry County

Emergency services

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520066

Location1000 Mineral Point AveJanesville, WI 53548 · Rock County

Emergency services Birthing friendly

Aurora Lakeland Medical Center

Acute Care Hospitals · Elkhorn, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520102

LocationW3985 County Road NnElkhorn, WI 53121 · Walworth County

Emergency services Birthing friendly

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521357

LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 6

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

MRS. REBECCA E CHESKI ATC

Specialist/Technologist (Athletic Trainer)

750 E TERRA COTTA AVE, SUITE C
CRYSTAL LAKE, IL 60014

McHenry County (815) 455-0800

MR. KEVIN FRANKLIN BARNES A.T.C./L.

Specialist/Technologist (Athletic Trainer)

750 E TERRA COTTA AVE
CRYSTAL LAKE, IL 60014

McHenry County (815) 455-0800

MERCY HEALTH SYSTEM CORPORATION

Durable Medical Equipment & Medical Supplies

750 E TERRA COTTA AVE, STE B
CRYSTAL LAKE, IL 60014

McHenry County (815) 459-1212

MRS. MICHELLE LEE SANFILIPPO PA-C

Physician Assistant

750 E TERRA COTTA AVE, CENTEGRA NEUROLOGY
CRYSTAL LAKE, IL 60014

McHenry County (815) 338-6600

VIRGINIA B HEMELT MD

Psychiatry & Neurology (Neurology)

750 E TERRA COTTA AVE
CRYSTAL LAKE, IL 60014

McHenry County (815) 455-1800

MCENEANEY & LESNIAK ASSOCIATES

Clinic/Center (Primary Care)

750 E TERRA COTTA AVE
CRYSTAL LAKE, IL 60014

McHenry County (847) 639-5800

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 Jeremy Houtakker's NPI number?

The NPI number for Jeremy Houtakker is 1902092109. It was assigned to this individual provider in the NPPES registry on September 20, 2007.

Where is Jeremy Houtakker located?

Jeremy Houtakker practices at 750 E Terra Cotta Ave Suite C, Crystal Lake, IL 60014. The listed phone number is (815) 455-0800.

What is Jeremy Houtakker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jeremy Houtakker enrolled in Medicare?

Yes. Jeremy Houtakker 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.

What insurance does Jeremy Houtakker accept?

Health plans from MercyCare Health Plans list Jeremy Houtakker 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 Jeremy Houtakker affiliated with any hospitals?

According to CMS data, Jeremy Houtakker is affiliated with Mercy Harvard Hospital, Mercy Health System Corp, Aurora Lakeland Medical Center and Mercy Walworth Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Jeremy Houtakker was last updated on September 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.