Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619419793 Individual Practitioner Male Practitioner

Matt Jackson , AGAC NP- BC

Nurse Practitioner • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Matt Jackson, AGAC NP- BC is a certified Nurse Practitioner practicing in Chicago, IL. With approximately 10 years of clinical experience since completing medical education in 2016, Matt Jackson delivers high-quality medical care to the local community at 676 N SAINT CLAIR ST STE 650.

Matt Jackson is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

676 N Saint Clair St Ste 650

Chicago, IL 606112929

Telephone 3126953800
Fax 3126953644

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Chicago, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs +1.1 yrs vs City Avg
City Avg: 8.9 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
961 Specialists

Practicing in Chicago, IL (4929 Statewide)

Telehealth Adoption Rate
19.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jackson (10 Years) 10 Yrs
Chicago Specialty Average (8.9 Years) 8.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-28
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209015073

(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.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License IL 209.015073

Definition to come...

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

660 N Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8472345600

Northwestern Medical Faculty Foundation

251 E Huron, Chicago, IL 606112908

Northwestern Medical Faculty Foundation

675 N Saint Clair St, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

251 E Huron St, Chicago, IL 606112908

Northwestern Medical Faculty Foundation

600 N Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8475359510

Northwestern Medical Faculty Foundation

675 N St Clair, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

1000 N Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8475358500

Northwestern Medical Faculty Foundation

1000 Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8472345600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Joseph Herrold , MD, MPH

Surgery - Trauma Surgery

NPI 1013311067

Doctor of Medicine (M.D.), Master of Public Health

Dr. Michael Sutherland , MD

Surgery - Trauma Surgery

NPI 1083604821

Doctor of Medicine (M.D.)

Dr. Anne Stey , MD

Surgery - Trauma Surgery

NPI 1124253935

Doctor of Medicine (M.D.)

Justin Young , PA-C

Physician Assistant

NPI 1164052734

Physician Assistant (Certified)

Emily Saha

Physician Assistant

NPI 1184102618
Dr. Samuel Kim , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1184771172

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 28, 2026

Registered at 676 N SAINT CLAIR ST STE 650, CHICAGO, IL 606112929 (Tel: 3126953800)

📍
Updated Business Mailing Address January 28, 2026

Registered at 676 N SAINT CLAIR ST STE 650, CHICAGO, IL 606112929 (Tel: 3126953800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2026

Nurse Practitioner (License #209015073 in IL)

NPI Profile Active November 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2016

Registered at 1725 W HARRISON ST, SUITE 1156, CHICAGO, IL 606123841 (Tel: 3125632762)

📍
Updated Business Mailing Address November 07, 2016

Registered at 1725 W HARRISON ST, SUITE 1156, CHICAGO, IL 606123841 (Tel: 3125632762)

👤
Provider Name / Credentials Updated November 07, 2016

Recorded as MATT JACKSON, AGAC NP- BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2016

Nurse Practitioner (License #209.015073 in IL)

🟢
Initial NPI Registration & Enumeration November 07, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619419793
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2016
Last Update: January 28, 2026
Sole Proprietor: Yes

Mailing Address

676 N Saint Clair St Ste 650

Chicago, IL 606112929

Phone: 3126953800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.