Mrs Jennifer C Nieves, FNP-C - Medicare Nurse Practitioner in Long Grove, IL

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Mrs Jennifer C Nieves, FNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Long Grove, Illinois. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northwestern Medical Faculty Foundation and her current practice location is 3880 Salem Lake Dr Ste F, Long Grove, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 719-2220.

Mrs Jennifer C Nieves is licensed to practice in Illinois (license number 209013566) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457716730.

Contact Information

Mrs Jennifer C Nieves, FNP-C
3880 Salem Lake Dr Ste F,
Long Grove, IL 60047-5292
(847) 719-2220
(847) 719-2265

Map and Direction




Provider's Profile

Full NameMrs Jennifer C Nieves
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location3880 Salem Lake Dr Ste F, Long Grove, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Jennifer C Nieves graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1457716730
  • Provider Enumeration Date: 12/30/2015
  • Last Update Date: 12/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8820395338
  • Enrollment ID: I20160329001337

Medical Identifiers

Medical identifiers for Mrs Jennifer C Nieves such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457716730NPI-NPPES
MN3825849OtherILDEA
209013566MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209013566 (Illinois)Secondary
363LA2200XNurse Practitioner - Adult Health 209013566 (Illinois)Primary
363L00000XNurse Practitioner 209013566 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwestern Medicine Mchenry HospitalMchenry, ILHospital
Central Dupage HospitalWinfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Medical Faculty Foundation45875768143871

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jennifer C Nieves allows following entities to bill medicare on her behalf.
Entity NameNorthwestern Medical Faculty Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346235314
PECOS PAC ID: 4587576814
Enrollment ID: O20031105000541
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NamePhysicians Immediate Care Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528046323
PECOS PAC ID: 4486568813
Enrollment ID: O20031118001089
Entity NamePhysicians Immediate Care North Chicago Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205814118
PECOS PAC ID: 8729064159
Enrollment ID: O20040626000381
Entity NameCrystal Lake Immediate Care Physicians Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538517198
PECOS PAC ID: 2961783139
Enrollment ID: O20161229001875

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer C Nieves is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jennifer C Nieves, FNP-C
3880 Salem Lake Dr Ste F,
Long Grove, IL 60047-5292

Ph: (847) 719-2220		Mrs Jennifer C Nieves, FNP-C
3880 Salem Lake Dr Ste F,
Long Grove, IL 60047-5292

Ph: (847) 719-2220

Reviews and Comments


Nurse Practitioner Nurses in Long Grove, IL

Helen E Okorie, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047
Phone: 847-719-2220    Fax: 847-719-2265
Mrs. Nicole Brooke Kinberg,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3880 Salem Lake Dr # F, Long Grove, IL 60047
Phone: 847-719-2220    
Rebecca Lynne Smith, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3880 Salem Lake Dr # F, Long Grove, IL 60047
Phone: 847-719-2220    Fax: 847-719-2265
Miss Monica Lisa Bieszczad, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047
Phone: 847-719-2220    Fax: 847-719-2265
Angela Rose Depa,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047
Phone: 847-719-2220    Fax: 847-719-2265
Kathy Wajda,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047
Phone: 847-719-2220    Fax: 847-719-2265
Alexis Gellar, AGPCNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047
Phone: 847-719-2220    Fax: 847-719-2265

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.