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Active NPI 1487312427 Individual Practitioner Female Practitioner

Dr. Jacqueline Therese Wirth , DNP, APRN, CPNP-PC

Nurse Practitioner - Pediatrics • Sycamore, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jacqueline Wirth, DNP, APRN, CPNP-PC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Sycamore, IL. Practice services are available at 1680 MEDITERRANEAN DR STE 107 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1680 Mediterranean Dr Ste 107

Sycamore, IL 601783193

Telephone 8158990001
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Sycamore, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Sycamore, IL (694 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-07
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License IL 209024208

Definition to come...

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1851398663

Doctor of Medicine (M.D.)

Jessa Leslie , APN

Nurse Practitioner - Pediatrics

NPI 1881955995

Advanced Practice Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 07, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2021

Registered at 1680 MEDITERRANEAN DR STE 107, SYCAMORE, IL 601783193 (Tel: 8158990001)

📍
Updated Business Mailing Address December 07, 2021

Registered at 19304 MIDLAND AVE, MOKENA, IL 604481118 (Tel: 8156853572)

👤
Provider Name / Credentials Updated December 07, 2021

Recorded as JACQUELINE WIRTH, DNP, APRN, CPNP-PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2021

Nurse Practitioner (License #209024208 in IL)

🟢
Initial NPI Registration & Enumeration December 07, 2021

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: 1487312427
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2021
Last Update: December 07, 2021
Sole Proprietor: No

Mailing Address

19304 Midland Ave

Mokena, IL 604481118

Phone: 8156853572

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.