MRS. JENNETT KYEN ATANGA II
NPI 1053890004
Nurse Practitioner - Gerontology in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

Active since August 10, 2018PECOS Enrolled

820 S DAMEN AVE, CHICAGO, IL 60612(630) 596-7113 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 7, 2018, Aug 10, 2018 (2 updates tracked since 2018).

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About Mrs. Jennett Kyen Atanga Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNETT KYEN ATANGA II (NPI 1053890004) is an individual gerontology provider in Chicago, Illinois, licensed in Illinois (209018017) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053890004

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMRS. JENNETT KYEN ATANGA II

Location Address820 S DAMEN AVEChicago, IL 60612

Mailing Address820 S Damen AveChicago, IL 60612-3728 · (630) 596-7113 · Fax (312) 226-6177

Phone(630) 596-7113

Sole ProprietorNo

Enumeration DateAugust 10, 2018

Last NPPES UpdateSeptember 7, 20182 updates tracked since enumeration

✔ NPI 1053890004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IL · 209018017

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 209018017 (IL)

820 S DAMEN AVE, Chicago, IL 60612

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennett Kyen Atanga Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.