DR. JACLYN SARA WEISMAN PHD
NPI 1982164869
Psychologist - Clinical in Chicago, IL
About Dr. Jaclyn Sara Weisman Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACLYN SARA WEISMAN PHD (NPI 1982164869) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (071010072) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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. Jaclyn Sara Weisman Phd 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 Reassignments
2Medicare enrollment records show Jaclyn Weisman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- 27 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
CHICAGO, IL 60611
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 Jaclyn Weisman's NPI number?
The NPI number for Jaclyn Weisman is 1982164869. It was assigned to this individual provider in the NPPES registry on March 25, 2019.
Where is Jaclyn Weisman located?
Jaclyn Weisman practices at 676 N Saint Clair St Ste 1100, Chicago, IL 60611. The listed phone number is (312) 695-5060.
What is Jaclyn Weisman's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jaclyn Weisman enrolled in Medicare?
Yes. Jaclyn Weisman 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 Jaclyn Weisman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Weisman reassigns Medicare benefits to 2 organizations: The Board Of Trustees Of The University Of Illinois (Chicago, IL) and Northwestern Medical Faculty Foundation (Carol Stream, IL). 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 Jaclyn Weisman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaclyn Weisman accept?
Health plans from Oscar Health list Jaclyn Weisman 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 Jaclyn Weisman was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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. Jaclyn Sara Weisman, PHD · NPI 1982164869
Clinical provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since March 25, 2019.
## Identity
- **NPI:** 1982164869 (Entity type: Individual)
- **Enumerated:** March 25, 2019
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 071010072 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 676 N SAINT CLAIR ST STE 1100, Chicago, IL 60611-2954
- **Phone:** (312) 695-5060 · **Fax:** (312) 695-5010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Board Of Trustees Of The University Of Illinois (NPI 1609822147, Chicago, IL); Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1982164869) · Data from the CMS NPPES public registry.