DR. JASON J. WASHBURN PH.D., ABPP
NPI 1962628586
Psychologist - Clinical Child & Adolescent in Chicago, IL
About Dr. Jason J. Washburn Ph.d., Abpp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JASON J. WASHBURN PH.D., ABPP (NPI 1962628586) is an individual clinical child & adolescent provider in Chicago, Illinois, licensed in Illinois (071006568) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses 4
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
Dr. Jason J. Washburn Ph.d., Abpp 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.
Medicare Billing Reassignment
Medicare enrollment records show Jason Washburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 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.
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.
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.
CHICAGO, IL 60657
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 Jason Washburn's NPI number?
The NPI number for Jason Washburn is 1962628586. It was assigned to this individual provider in the NPPES registry on April 18, 2007.
Where is Jason Washburn located?
Jason Washburn practices at 3047 N Lincoln Ave Suite #400, Chicago, IL 60657. The listed phone number is (773) 904-0445.
What is Jason Washburn's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.
Is Jason Washburn enrolled in Medicare?
Yes. Jason Washburn 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 Jason Washburn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Washburn reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, 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 Jason Washburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jason Washburn accept?
Health plans from Oscar Health list Jason Washburn 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 Jason Washburn was last updated on July 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Jason J. Washburn, PH.D., ABPP · NPI 1962628586
Clinical Child & Adolescent provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since April 18, 2007.
## Identity
- **NPI:** 1962628586 (Entity type: Individual)
- **Enumerated:** April 18, 2007
- **Primary specialty:** Psychologist - Clinical Child & Adolescent · taxonomy 103TC2200X
- **State license:** 071006568 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3047 N LINCOLN AVE, SUITE #400, Chicago, IL 60657-4999
- **Phone:** (773) 904-0445
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** July 9, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1962628586) · Data from the CMS NPPES public registry.