JEREMY SOEDER APN NPI 1407312564

NPI Information

  • NPI: 1407312564
  • Provider Name: JEREMY SOEDER, APN
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5645 W ADDISON ST
    CHICAGO, IL
    ZIP 60634
  • Phone: (773) 282-7000

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NPI Details

Jeremy Soeder, APN is an acute care nurse practitioner in Chicago, IL with 8 years of experience. Jeremy Soeder, APN NPI is 1407312564. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5645 W ADDISON ST
CHICAGO, IL
ZIP 60634-881
Phone: (773) 282-7000

The NPI 1407312564 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • New patient home visit, typically 75 minutes (HCPCS:99345)

The enumeration date for this NPI number is 2/13/2019 and was last updated on 6/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner209018671ILLINOISNo
2363LA2100XNurse PractitionerAcute Care209.018671ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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