DR. NATHALIE JEAN (MD) – Nephrology Physician, NPI 1700134293

DR. NATHALIE JEAN (MD) is a healthcare provider. based in Chicago, Illinois. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 72878 (WI). The NPI Number for DR. NATHALIE JEAN (MD) is 1700134293

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHALIE JEAN (MD)
NPI
1700134293
Phone
(773) 702-1500
Address
5758 S MARYLAND AVE
Enumeration Date
15 August 2012
Last Update Date
5 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7158472866
Graduation Year
2001 (25 years ago)
PAC ID
2264663186
Group Practice PAC ID
6406757442
Professional Enrollment ID
I20210714001952
Address ID
WI544014102WA333XXBLVD400
Telehealth
Yes
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:13State licenses:4Digital endpointsOther names

968 INTERNAL MEDICINE in NH

Provider Addresses for DR. NATHALIE JEAN (MD)

  • 5758 S MARYLAND AVE

    CHICAGO, IL 606371426

    Phone: (773) 702-1500

    Type: Mailing

  • 1545 ATLANTIC AVE

    LEBANON, NH 03766

    Phone: (603) 653-3830

    Type: Location

  • 105 W 8TH AVE STE 1000

    SPOKANE, WA 992042327

    Phone: (509) 474-4500

    Fax: (509) 227-7070

    Type: Location

  • 1545 Atlantic Ave

    Lebanon, NH 03766

    Phone: (603) 653-3830

    Type: Location

  • 607 S 24TH AVE # 367

    WAUSAU, WI 544015226

    Phone: (347) 421-2862

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $284.

Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Gilead Sciences, Inc. ($120).

Total Amount

$284

General + Research + Ownership

Payments

5

Total payment records

General Amount

$284

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140320000269IInternal MedicineMNTBD
I20210621003094INephrologyFLTBD
I20210714001952INephrologyWITBD
I20210913000035IInternal MedicineILTBD
I20231002002333INephrologySDTBD
I20250305000277INephrologyWVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2924$0
99215Established patient office or other outpatient visit, 40-54 minutes2216$0
99213Established patient office or other outpatient visit, 20-29 minutes1615$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1414$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60637)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406757442View full group profile

Reviews

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Frequently asked questions

What is the standard ID for DR. NATHALIE JEAN (MD) in the U.S.?
In the U.S., DR. NATHALIE JEAN (MD) is identified by NPI 1700134293.
Is DR. NATHALIE JEAN (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. NATHALIE JEAN (MD) as active.
How should patients interpret DR. NATHALIE JEAN (MD)'s specialty?
The extract shows Nephrology Physician for DR. NATHALIE JEAN (MD). Clinical services aligned with this taxonomy classification.
What city is tied to DR. NATHALIE JEAN (MD)?
The directory associates DR. NATHALIE JEAN (MD) with Chicago, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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