MRS. JACLYN REIDER CPNP-AC
NPI 1992175715
Nurse Practitioner in Chicago, IL
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
Specialties & Licenses
Other Names 1
Secondary Practice Locations 14
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jaclyn Reider Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jaclyn Reider reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chicago, IL 60611
- Reassigned Medicare billing, Illinois enrollment
- 826 clinicians in this Medicare group
Brookhaven, GA 30329
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Cardiothoracic Providers At Childrens
- 9 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.
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
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 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.
Where is Jaclyn Reider located?
Jaclyn Reider practices at 225 E Chicago Ave, Chicago, IL 60611. The listed phone number is (312) 227-4000.
What is Jaclyn Reider's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jaclyn Reider enrolled in Medicare?
Yes. Jaclyn Reider is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jaclyn Reider's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Reider reassigns Medicare benefits to 2 organizations: Lurie Children's Medical Group Inc (Chicago, IL) and Cardiothoracic Providers At Children's, LLC (Brookhaven, GA). 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 Reider's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 15 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.
# Mrs. Jaclyn Reider, CPNP-AC · NPI 1992175715
Nurse Practitioner physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since October 6, 2015.
## Identity
- **NPI:** 1992175715 (Entity type: Individual)
- **Enumerated:** October 6, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209013232 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 E CHICAGO AVE, Chicago, IL 60611-2991
- **Phone:** (312) 227-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Lurie Children's Medical Group Inc (NPI 1518064716, Chicago, IL); Cardiothoracic Providers At Children's, LLC (NPI 1558727289, Brookhaven, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 22, 2025
- **Other identifiers:** Other 041390173 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1992175715) · Data from the CMS NPPES public registry.