Samantha Jerusal
Nurse Practitioner - Pediatrics β’ Chicago, IL
2418 W Division St
Chicago, IL 606222940
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
2418 W Division St
Chicago, IL 606222940
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner - Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021β2025.
NPI first issued
2023
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Samantha Jerusal has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Samantha Jerusal as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Chicago and Illinois
320 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Chicago, IL (687 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Chicago
0.3% of these 320 clinicians have the CMS telehealth indicator.
4.1% of these 320 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-09-05NUCC Taxonomy Code: 363LP0200X
NUCC Taxonomy Code: 163WP0200X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20231023001485
IL
3274989553
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Nurse Practitioner
Family Medicine
Family Medicine
Family Medicine
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2418 W DIVISION ST, CHICAGO, IL 606222940 (Tel: 3126663494)
Registered at 2418 W DIVISION ST, CHICAGO, IL 606222940 (Tel: 3126663494)
NPI status registered as active in NPPES database
Registered at 630 CHILDRENS DR, COLUMBUS, OH 432052649 (Tel: 6147222000)
Registered at 934 DEACON CIR, COLUMBUS, OH 432142394 (Tel: 6149303623)
Recorded as SAMANTHA JERUSAL
Registered Nurse (license number reported to NPPES: OH 501051)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioner - Pediatrics Specialists in Chicago
- Breanne Fisher, APN
- Jessica Whittington, APRN
- Nora Hammond, APN
- Elise Oberman
- Sophia Taylor, APN
- Gia Spiotto, RN, CPNP-AC
Mailing Address
2418 W Division St
Chicago, IL 606222940
Phone: 3126663494