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CRYSTAL S JESENICK A.N.P.-C
NPI 1396831616
Nurse Practitioner - Adult Health in O Fallon, IL

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
922 TALON DR, SUITE B, O FALLON, IL 62269(618) 972-5641(314) 270-5283 Get Directions Write a Review

NPPES record last updated: October 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Crystal S Jesenick A.n.p.-c NPPES

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

CRYSTAL S JESENICK A.N.P.-C (NPI 1396831616) is an individual adult health provider in O Fallon, Illinois, licensed in Illinois (209006003) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1396831616
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCRYSTAL S JESENICKCredential: A.N.P.-C
Location Address922 TALON DR, SUITE BO Fallon, IL 62269-1848
Mailing Address825 Saybrook Falls DrFairview Heights, IL 62208-2168 · (618) 972-5641 · Fax (314) 270-5283
Phone(618) 972-5641
Fax(314) 270-5283
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 16, 2015
✔ NPI 1396831616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209006003
922 TALON DR, O Fallon, IL 62269
Open in Google Maps ↗

Other Names 1

Former Name (1)Crystal L Spirkoff R.n.

Other Identifiers 4

Medicare PIN990001366MO
Medicaid427014204MO
Medicare UPINQ71686IL
Medicare PINK39746IL

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

Crystal S Jesenick A.n.p.-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 ID7416953369
PECOS Enrollment IDI20061017000103
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

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

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%137 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. WESTON ALLEN HOLZINGER D.C.
Chiropractor
922 TALON DR, SUITE B
O FALLON, IL 62269
St. Clair County (618) 622-1200
AMANDA JOY BUFFINGTON DC
Chiropractor
922 TALON DR, SUITE B
O FALLON, IL 62269
St. Clair County (618) 622-1200
WHOLE HEALTH CHIROPRACTIC SC
Chiropractor
922 TALON DR, SUITE B
O FALLON, IL 62269
St. Clair County (618) 622-1200
WHOLE HEALTH FAMILY PRACTICE, PC
Nurse Practitioner (Family)
922 TALON DR, SUITE B
O FALLON, IL 62269
St. Clair County (618) 622-1200

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 Crystal Jesenick's NPI number?

The NPI number for Crystal Jesenick is 1396831616. It was assigned to this individual provider in the NPPES registry on October 5, 2006. The provider is also known as Crystal L Spirkoff R.N..

Where is Crystal Jesenick located?

Crystal Jesenick practices at 922 Talon Dr Suite B, O Fallon, IL 62269. The listed phone number is (618) 972-5641.

What is Crystal Jesenick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Crystal Jesenick enrolled in Medicare?

Yes. Crystal Jesenick 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.

Is Crystal Jesenick affiliated with any hospitals?

According to CMS data, Crystal Jesenick is affiliated with Uw Health.

When was this NPI record last updated?

The NPPES record for Crystal Jesenick was last updated on October 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.