JENINE K TUBERGEN OTR/L
NPI 1104090919
Occupational Therapist in Chicago, IL
About Jenine K Tubergen Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENINE K TUBERGEN OTR/L (NPI 1104090919) is an individual occupational therapist in Chicago, Illinois and active in the NPI registry since April 2008. She is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jenine K Tubergen Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jenine Tubergen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Skokie, IL 60076
- Reassigned Medicare billing, Illinois enrollment
- 60 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
CHICAGO, IL 60611
CHICAGO, IL 60611
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 Jenine Tubergen's NPI number?
The NPI number for Jenine Tubergen is 1104090919. It was assigned to this individual provider in the NPPES registry on April 14, 2008.
Where is Jenine Tubergen located?
Jenine Tubergen practices at 345 E Superior St, Chicago, IL 60611. The listed phone number is (312) 238-1228.
What is Jenine Tubergen's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jenine Tubergen enrolled in Medicare?
Yes. Jenine Tubergen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jenine Tubergen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenine Tubergen reassigns Medicare benefits to Illinois Home Therapy LLC (Skokie, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenine Tubergen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jenine Tubergen was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.