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

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: August 09, 2026.

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

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NISHA MEHTA
Pharmacist
820 S DAMEN AVE, PHARMACY (119)
CHICAGO, IL 60612
Cook County (312) 569-5906
MICHAEL FUNG PHD
Psychologist (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6975
ROBERTA J THOMPSON MSW
Social Worker (Clinical)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-7588
MS. JOLINE L. LABEDIS LCSW
Social Worker (Clinical)
820 S DAMEN AVE, ROOM 8456
CHICAGO, IL 60612
Cook County (312) 569-6972
DR. ARDITA TALI
Nuclear Medicine
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6435
JESSE BROWN VA MEDICAL CENTER
Military Hospital (Military General Acute Care Hospital)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-8387
DR. PETER F. FORE M.D.
Psychiatry & Neurology (Psychiatry)
820 S DAMEN AVE, MAILCODE 116A
CHICAGO, IL 60612
Cook County (312) 569-7201
MARISSA MAHONEY PHARMD
Pharmacist (Pharmacotherapy)
820 S DAMEN AVE
CHICAGO, IL 60612
Cook County (312) 569-6820

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennett Atanga's NPI number?

The NPI number for Jennett Atanga is 1053890004. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Where is Jennett Atanga located?

Jennett Atanga practices at 820 S Damen Ave, Chicago, IL 60612. The listed phone number is (630) 596-7113.

What is Jennett Atanga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Jennett Atanga enrolled in Medicare?

Yes. Jennett Atanga is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennett Atanga was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.