JESSICA PAWLICKI
NPI 1972909877
Nurse Practitioner in Crystal Lake, IL

Q: What is Jessica Pawlicki's NPI number?

The NPI number for Jessica Pawlicki is 1972909877. It was assigned to this individual provider in the NPPES registry on November 5, 2014.

Q: What is Jessica Pawlicki's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: Is Jessica Pawlicki enrolled in Medicare?

No. Jessica Pawlicki has opted out of Medicare through June 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Jessica Pawlicki was last updated on October 31, 2019. 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.

Active since November 05, 2014Opted out of Medicare · through Jun 24, 2028

820 E TERRA COTTA AVE STE 132, CRYSTAL LAKE, IL 60014(815) 322-9300 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2019, Jan 4, 2019, Sep 15, 2016 (3 updates tracked since 2016).

On this page

About Jessica Pawlicki NPPES

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

JESSICA PAWLICKI (NPI 1972909877) is an individual nurse practitioner in Crystal Lake, Illinois, licensed in Illinois (277000116) and active in the NPI registry since November 2014. She has opted out of Medicare through June 24, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972909877

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJESSICA PAWLICKI

Location Address820 E TERRA COTTA AVE STE 132Crystal Lake, IL 60014-3655

Mailing Address820 E Terra Cotta Ave Ste 132Crystal Lake, IL 60014-3655

Phone(815) 322-9300

Sole ProprietorYes

Enumeration DateNovember 5, 2014

Last NPPES UpdateOctober 31, 20193 updates tracked since enumeration

✔ NPI 1972909877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 277000116

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

820 E TERRA COTTA AVE STE 132, Crystal Lake, IL 60014

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Pawlicki has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 24, 2020 through June 24, 2028.

Opt-Out Effective DateJune 24, 2020

Opt-Out In Effect ThroughJune 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60014 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier12 claims12 services$2.33 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

JACKI LIGGETT APN, FNP

Nurse Practitioner (Family)

820 E TERRA COTTA AVE STE 132
CRYSTAL LAKE, IL 60014

McHenry County (815) 322-9300

WELL-ROOTED PEDIATRICS LLC

Nurse Practitioner (Family)

820 E TERRA COTTA AVE STE 132
CRYSTAL LAKE, IL 60014

McHenry County (815) 322-9300

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 Pawlicki's NPI number?

The NPI number for Jessica Pawlicki is 1972909877. It was assigned to this individual provider in the NPPES registry on November 5, 2014.

Where is Jessica Pawlicki located?

Jessica Pawlicki practices at 820 E Terra Cotta Ave Ste 132, Crystal Lake, IL 60014. The listed phone number is (815) 322-9300.

What is Jessica Pawlicki's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jessica Pawlicki enrolled in Medicare?

No. Jessica Pawlicki has opted out of Medicare through June 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jessica Pawlicki was last updated on October 31, 2019. 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.