JACK ALAN KAMENSKE MSN, RN, FNP-BC
NPI 1669012837
Nurse Practitioner - Pediatrics in Oak Lawn, IL
About Jack Alan Kamenske Msn, Rn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK ALAN KAMENSKE MSN, RN, FNP-BC (NPI 1669012837) is an individual pediatrics provider in Oak Lawn, Illinois, licensed in Illinois (209-020706) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jack Alan Kamenske Msn, Rn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OAK LAWN, IL 60453
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 Jack Kamenske's NPI number?
The NPI number for Jack Kamenske is 1669012837. It was assigned to this individual provider in the NPPES registry on January 15, 2020.
Where is Jack Kamenske located?
Jack Kamenske practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 684-5580.
What is Jack Kamenske's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jack Kamenske enrolled in Medicare?
Yes. Jack Kamenske is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jack Kamenske was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Jack Alan Kamenske, MSN, RN, FNP-BC · NPI 1669012837
Pediatrics physician in Oak Lawn, Illinois. Individual provider, active in the CMS NPPES registry since January 15, 2020.
## Identity
- **NPI:** 1669012837 (Entity type: Individual)
- **Enumerated:** January 15, 2020
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 209-020706 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4440 W 95TH ST, Oak Lawn, IL 60453-2600
- **Phone:** (708) 684-5580
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669012837) · Data from the CMS NPPES public registry.