JENNIFER R. KOMADA NP-C
NPI 1245754787
Nurse Practitioner - Family in Blue Island, IL

Active since July 26, 2017PECOS EnrolledAccepts Medicare Assignment
12200 WESTERN AVE, BLUE ISLAND, IL 60406(708) 631-2781 Get Directions Write a Review

NPPES record last updated: December 20, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 20, 2017, Jul 26, 2017 (2 updates tracked since 2017).

About Jennifer R. Komada Np-c NPPES

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

JENNIFER R. KOMADA NP-C (NPI 1245754787) is an individual family provider in Blue Island, Illinois, licensed in Illinois (209.016056) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245754787
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER R. KOMADACredential: NP-C
Location Address12200 WESTERN AVEBlue Island, IL 60406-1398
Mailing Address12200 Western AveBlue Island, IL 60406-1398
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 26, 2017
Last NPPES UpdateDecember 20, 20172 updates tracked since enumeration
NPI 1245754787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.016056
12200 WESTERN AVE, Blue Island, IL 60406

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

Jennifer R. Komada Np-c 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 ID1254604762
PECOS Enrollment IDI20170905003453
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
40 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services22 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
22 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services14 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60406 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 11

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

Dentist (General Practice)
12200 WESTERN AVE, SUITE 108
BLUE ISLAND, IL 60406
Dentist (General Practice)
12200 WESTERN AVE, #108
BLUE ISLAND, IL 60406
Dentist
12200 WESTERN AVE, SUITE 108
BLUE ISLAND, IL 60406
Dentist
12200 WESTERN AVE, STE 108
BLUE ISLAND, IL 60406
Dentist
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Internal Medicine
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Dentist
12200 WESTERN AVE
BLUE ISLAND, IL 60406
Clinic/Center (Urgent Care)
12200 WESTERN AVE
BLUE ISLAND, IL 60406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245754787, enumerated as an "individual" on July 26, 2017.

The provider is located at 12200 WESTERN AVE BLUE ISLAND, IL 60406 and the phone number is (708) 631-2781.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.