JEFFERY E KOBERNUSZ NP
NPI 1699967000
Nurse Practitioner in Madison, WI
About Jeffery E Kobernusz Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERY E KOBERNUSZ NP (NPI 1699967000) is an individual nurse practitioner in Madison, Wisconsin, licensed in Wisconsin (144524) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jeffery E Kobernusz Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jeffery Kobernusz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 20 clinicians in this Medicare group
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unitypoint Health - Meriter
Acute Care Hospitals · Madison, WIUniversity Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Jeffery Kobernusz's NPI number?
The NPI number for Jeffery Kobernusz is 1699967000. It was assigned to this individual provider in the NPPES registry on August 10, 2007.
Where is Jeffery Kobernusz located?
Jeffery Kobernusz practices at 4602 Eastpark Blvd, Madison, WI 53718. The listed phone number is (608) 263-7540.
What is Jeffery Kobernusz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jeffery Kobernusz enrolled in Medicare?
Yes. Jeffery Kobernusz 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.
Which organizations bill Medicare for Jeffery Kobernusz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Kobernusz reassigns Medicare benefits to 2 organizations: Emergency Medicine Associates Of Madison, Sc (Madison, WI) and University Of Wisconsin Medical Foundation, Inc (Middleton, WI). Each 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 Jeffery Kobernusz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffery Kobernusz accept?
Health plans from Group Health Cooperative-SCW list Jeffery Kobernusz 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.
Is Jeffery Kobernusz affiliated with any hospitals?
According to CMS data, Jeffery Kobernusz is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Jeffery Kobernusz was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jeffery E Kobernusz, NP · NPI 1699967000
Nurse Practitioner physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since August 10, 2007.
## Identity
- **NPI:** 1699967000 (Entity type: Individual)
- **Enumerated:** August 10, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 144524 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 4602 EASTPARK BLVD, Madison, WI 53718-2002
- **Phone:** (608) 263-7540
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Associates Of Madison, Sc (NPI 1235119769, Madison, WI); University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** February 16, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1699967000) · Data from the CMS NPPES public registry.