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JACLYN K TAVERNA FNP-BC, MSN
NPI 1164675179
Nurse Practitioner in Yorkville, IL

Active since November 04, 2008PECOS EnrolledAccepts Medicare Assignment
520 E KENDALL DR UNIT C, YORKVILLE, IL 60560(630) 385-2360(630) 385-2934 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2022, Aug 14, 2017 (2 updates tracked since 2017).

About Jaclyn K Taverna Fnp-bc, Msn NPPES

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

JACLYN K TAVERNA FNP-BC, MSN (NPI 1164675179) is an individual nurse practitioner in Yorkville, Illinois, licensed in Illinois (277.001828) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2002).

NPPES Registry Identity

NPI1164675179
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJACLYN K TAVERNACredential: FNP-BC, MSN
Location Address520 E KENDALL DR UNIT CYorkville, IL 60560-1956
Mailing Address50 S B B King BlvdMemphis, TN 38103-2626 · (901) 436-1381
Phone(630) 385-2360
Fax(630) 385-2934
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2002
Enumeration DateNovember 4, 2008
Last NPPES UpdateApril 26, 20222 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
✔ NPI 1164675179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 277.001828
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209.007311 (IL)
520 E KENDALL DR UNIT C, Yorkville, IL 60560
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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 and accepts Medicare assignment

Jaclyn K Taverna Fnp-bc, Msn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123182276
PECOS Enrollment IDI20090204000334
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 60560 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 2

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

WHOLE CHILD PEDIATRICS NATALIE DRUMMOND LIMITED
Pediatrics
520 E KENDALL DR UNIT C
YORKVILLE, IL 60560
Kendall County (630) 385-2360
NATALIE LAMBAJIAN-DRUMMOND MD
Pediatrics
520 E KENDALL DR UNIT C
YORKVILLE, IL 60560
Kendall County (630) 385-2360

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 Jaclyn Taverna's NPI number?

The NPI number for Jaclyn Taverna is 1164675179. It was assigned to this individual provider in the NPPES registry on November 4, 2008.

Where is Jaclyn Taverna located?

Jaclyn Taverna practices at 520 E Kendall Dr Unit C, Yorkville, IL 60560. The listed phone number is (630) 385-2360.

What is Jaclyn Taverna's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jaclyn Taverna enrolled in Medicare?

Yes. Jaclyn Taverna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jaclyn Taverna was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.