Samantha Jerusal
NPI 1013610971 · Pediatric Nurse Practitioner · Chicago, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samantha Jerusal is a Pediatric Nurse Practitioner provider in Chicago, IL (NPI 1013610971).
Provider details
- NPI number
- 1013610971
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 501051 (OH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-03-22
- Last updated
- 2023-09-05
- Certified
- 2023-09-05
Frequently asked questions
- What is Samantha Jerusal's NPI number?
- Samantha Jerusal's National Provider Identifier (NPI) is 1013610971, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samantha Jerusal's specialty?
- Samantha Jerusal is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samantha Jerusal located?
- Samantha Jerusal's practice location on file with NPPES is 2418 W Division St, Chicago, IL 60622-2940.
- What is Samantha Jerusal's phone number?
- The practice phone number listed in the NPPES registry for Samantha Jerusal is (312) 666-3494.
- Does Samantha Jerusal accept Medicare?
- Samantha Jerusal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samantha Jerusal's NPI active?
- Yes — Samantha Jerusal's NPI (1013610971) is active in the NPPES registry as of the last update on 2023-09-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.