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JACLYN MARY PETROV APN
NPI 1295399178
Nurse Practitioner - Obstetrics & Gynecology in Mokena, IL

Active since April 26, 2019PECOS Enrolled
10260 191ST ST STE 100, MOKENA, IL 60448(708) 572-7669(708) 422-4253 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2022, Apr 26, 2019 (2 updates tracked since 2019).

About Jaclyn Mary Petrov Apn NPPES

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

JACLYN MARY PETROV APN (NPI 1295399178) is an individual obstetrics & gynecology provider in Mokena, Illinois, licensed in Indiana (209.019158) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Evergreen Park.

NPPES Registry Identity

NPI1295399178
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameJACLYN MARY PETROVCredential: APN
Location Address10260 191ST ST STE 100Mokena, IL 60448-8802
Mailing Address10260 191st St Ste 100Mokena, IL 60448-8802 · (708) 572-7669 · Fax (708) 422-4253
Phone(708) 572-7669
Fax(708) 422-4253
Sole ProprietorNo
Enumeration DateApril 26, 2019
Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1295399178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in IN · 209.019158
10260 191ST ST STE 100, Mokena, IL 60448
Open in Google Maps ↗

Other Names 1

Former Name (1)Jaclyn Mary Serafin

Secondary Practice Location 1

Location 19730 S Western AveEvergreen Park, IL 60805-2814 · Phone (708) 425-1907 · Fax (708) 422-4253

Other Identifiers 1

Other209.019158IL · Apn License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Mary Petrov Apn 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 60448 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 4

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

MS. ANN SCOIGLETTI APN, FNP-BC
Nurse Practitioner
10260 191ST ST STE 100
MOKENA, IL 60448
Will County (708) 572-7575
A LOTA HEALTHCARE LTD
Obstetrics & Gynecology
10260 191ST ST STE 100
MOKENA, IL 60448
Will County (708) 572-7669
TINA M OPSENICA APRN
Nurse Practitioner (Family)
10260 191ST ST STE 100
MOKENA, IL 60448
Will County (708) 425-1907
REHANA RENAUD ANP
Nurse Practitioner (Family)
10260 191ST ST STE 100
MOKENA, IL 60448
Will County (708) 425-1907

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 Petrov's NPI number?

The NPI number for Jaclyn Petrov is 1295399178. It was assigned to this individual provider in the NPPES registry on April 26, 2019. The provider is also known as Jaclyn Mary Serafin.

Where is Jaclyn Petrov located?

Jaclyn Petrov practices at 10260 191st St Ste 100, Mokena, IL 60448. The listed phone number is (708) 572-7669.

What is Jaclyn Petrov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Jaclyn Petrov enrolled in Medicare?

Yes. Jaclyn Petrov is registered in the Medicare PECOS enrollment system.

What insurance does Jaclyn Petrov accept?

Health plans from CareSource list Jaclyn Petrov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Petrov was last updated on September 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.