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MRS. JACQUELINE L. KUNZ RNC, NNP
NPI 1699958843
Nurse Practitioner in Breese, IL

Active since December 11, 2007PECOS Enrolled
9515 HOLY CROSS LN, BREESE, IL 62230(618) 526-4511(618) 526-4537 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2024, Jan 3, 2022 (2 updates tracked since 2022).

About Mrs. Jacqueline L. Kunz Rnc, Nnp NPPES

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

MRS. JACQUELINE L. KUNZ RNC, NNP (NPI 1699958843) is an individual nurse practitioner in Breese, Illinois, licensed in Illinois (209006861) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699958843
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JACQUELINE L. KUNZCredential: RNC, NNP
Location Address9515 HOLY CROSS LNBreese, IL 62230-3618
Mailing Address9515 Holy Cross LnBreese, IL 62230-3618 · (618) 526-4511 · Fax (618) 526-4537
Phone(618) 526-4511
Fax(618) 526-4537
Sole ProprietorNo
Enumeration DateDecember 11, 2007
Last NPPES UpdateOctober 7, 20242 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1699958843 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 · 209006861
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 · NeonatalTaxonomy 363LN0000X · License 209006861 (IL), 109569 (MO)
9515 HOLY CROSS LN, Breese, IL 62230
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jacqueline L. Kunz Rnc, Nnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Kunz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third
63 mi
General Acute Care Hospital
503 N MAPLE ST
Effingham, IL 62401
  • Reassigned Medicare billing, Illinois enrollment
  • 104 clinicians in this Medicare group
NPI 1306800602 (217) 347-1333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62230 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.

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.

LYNN M RINELLA PT
Physical Therapist
9515 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-5436
MRS. LUCY HANSON SCHRAGE M.A., L.C.P.C, A.T.R
Counselor (Professional)
9515 HOLY CROSS LN, SPECIALTY CLINIC, SUITE 5
BREESE, IL 62230
Clinton County (618) 980-5028
DUGAN RADIOLOGY ASSOCIATES, LTD
Radiology (Diagnostic Radiology)
9515 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-4511
TONYA GAIL TROXELL OTR/L, CLT
Occupational Therapist
9515 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-5436
ST JOSEPHS HOSPITAL BREESE OF THE HOSPITAL SISTERS OF THE THIRD ORDE
Clinic/Center (Pain)
9515 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-4511
ERIN ROBKE DNP, FNP-BC
Nurse Practitioner (Family)
9515 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-8430
MSA ALLIANCE, LLC
Surgery (Vascular Surgery)
9515 HOLY CROSS LN, SUITE 1
BREESE, IL 62230
Clinton County (618) 526-4511
DR. JOSHUA ROBERT VAUGHAN DNP, CRNA
Nurse Anesthetist, Certified Registered
9515 HOLY CROSS LN
BREESE, IL 62230
Clinton County (618) 526-8050

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 Jacqueline Kunz's NPI number?

The NPI number for Jacqueline Kunz is 1699958843. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Where is Jacqueline Kunz located?

Jacqueline Kunz practices at 9515 Holy Cross Ln, Breese, IL 62230. The listed phone number is (618) 526-4511.

What is Jacqueline Kunz's specialty?

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

Is Jacqueline Kunz enrolled in Medicare?

Yes. Jacqueline Kunz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Kunz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Kunz reassigns Medicare benefits to St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third (Effingham, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Kunz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Kunz was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.