MRS. JENNIFER JO DERUBEIS APRN
NPI 1710605951
Nurse Practitioner - Family in Princeton, IL

Active since August 15, 2022PECOS EnrolledAccepts Medicare Assignment
530 PARK AVE E, PRINCETON, IL 61356(815) 875-2811 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Jennifer Jo Derubeis Aprn NPPES

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

MRS. JENNIFER JO DERUBEIS APRN (NPI 1710605951) is an individual family provider in Princeton, Illinois, licensed in Illinois (209025738) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Clare Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710605951
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JENNIFER JO DERUBEISCredential: APRN
Location Address530 PARK AVE EPrinceton, IL 61356-3901
Mailing Address413 W Caroline StSpring Valley, IL 61362-1823
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 15, 2022
NPPES CertifiedAugust 12, 2022
NPI 1710605951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209025738
530 PARK AVE E, Princeton, IL 61356

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

Mrs. Jennifer Jo Derubeis Aprn 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 ID8022484567
PECOS Enrollment IDI20221025000652
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.

Hospital Affiliations CMS Care Compare

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

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL
OwnershipGovernment - Local
CMS Certification Number141337
Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61356 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Internal Medicine (Gastroenterology)
530 PARK AVE E, SUITE 7
PRINCETON, IL 61356
Emergency Medicine
530 PARK AVE E
PRINCETON, IL 61356
Family Medicine
530 PARK AVE E
PRINCETON, IL 61356
Durable Medical Equipment & Medical Supplies
530 PARK AVE E
PRINCETON, IL 61356
Podiatrist (Foot & Ankle Surgery)
530 PARK AVE E, SUITE 204
PRINCETON, IL 61356
Clinic/Center
530 PARK AVE E, SUITE 205
PRINCETON, IL 61356
Podiatrist (Primary Podiatric Medicine)
530 PARK AVE E, SUITE 301
PRINCETON, IL 61356
Surgery
530 PARK AVE E, SUITE 205
PRINCETON, IL 61356

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710605951, enumerated as an "individual" on August 15, 2022.

The provider is located at 530 PARK AVE E PRINCETON, IL 61356 and the phone number is (815) 875-2811.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Jennifer Derubeis is affiliated with: OSF SAINT CLARE MEDICAL CENTER.