MRS. JACLYN REIDER CPNP-AC
NPI 1992175715
Nurse Practitioner in Chicago, IL

Q: What is Jaclyn Reider's NPI number?

The NPI number for Jaclyn Reider is 1992175715. It was assigned to this individual provider in the NPPES registry on October 6, 2015. The provider is also known as Ms. Jaclyn Travers.

Q: What is Jaclyn Reider's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Reider was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since October 06, 2015PECOS Enrolled

225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-4000 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Mrs. Jaclyn Reider Cpnp-ac NPPES

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

MRS. JACLYN REIDER CPNP-AC (NPI 1992175715) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209013232) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains 14 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992175715

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. JACLYN REIDERCredential: CPNP-AC

Location Address225 E CHICAGO AVEChicago, IL 60611-2991

Mailing Address225 E Chicago AveChicago, IL 60611-2991 · (630) 415-8136

Phone(312) 227-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 6, 2015

Last NPPES UpdateJuly 22, 2025

NPPES CertifiedJuly 22, 2025

✔ NPI 1992175715 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 · 209013232

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.

225 E CHICAGO AVE, Chicago, IL 60611

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Other Names 1

Former Name (1)Ms. Jaclyn Travers

Secondary Practice Locations 14

Location 125 N Winfield RdWinfield, IL 60190-1379 · Phone (312) 227-4100

Location 21475 E Belvidere Rd, Pavilion C, Suite 285Grayslake, IL 60030 · Phone (312) 227-4100

Location 3880 W Central Rd Ste 6400Arlington Heights, IL 60005-2378 · Phone (312) 227-4100

Location 41131 Techny RdNorthbrook, IL 60062-5503 · Phone (312) 227-4100

Location 51870 Silver Cross Blvd Ste 210New Lenox, IL 60451-8646 · Phone (312) 227-4100

Location 6900 N Westmoreland Rd Ste 110Lake Forest, IL 60045-1688 · Phone (312) 227-4100

Location 710350 Haligus Rd Ste 110Huntley, IL 60142-9526 · Phone (312) 227-4100

Location 8251 E Huron StChicago, IL 60611-2908 · Phone (312) 227-4100

Location 91620 W Harrison StChicago, IL 60612-3801 · Phone (312) 227-4100

Location 10250 E Superior StChicago, IL 60611-2914 · Phone (312) 227-4100

Location 112301 Enterprise DrWestchester, IL 60154-5802 · Phone (312) 227-4100

Location 123722 Touhy AveSkokie, IL 60076-3941 · Phone (312) 227-4100

Location 131895 Arbor Glen BlvdSchaumburg, IL 60195-3114 · Phone (312) 227-4100

Location 142515 N Clark St Ste 900Chicago, IL 60614-2730 · Phone (312) 227-4100

Other Identifiers 1

Other041390173IL · State License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jaclyn Reider Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284049966

PECOS Enrollment IDI20251223004301

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.

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.

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 20

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

BESSEY ELIZABETH JOSE GEEVARGHESE DO

Pediatrics