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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
Phone(815) 875-2811
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
Open in Google Maps ↗

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.

DR. GEETHA DODDA MD
Internal Medicine (Gastroenterology)
530 PARK AVE E, SUITE 7
PRINCETON, IL 61356
Bureau County (815) 875-8666
ALAN DUMONTIER MD
Emergency Medicine
530 PARK AVE E
PRINCETON, IL 61356
Bureau County (904) 805-1300
ARNOLD FABER MD
Family Medicine
530 PARK AVE E
PRINCETON, IL 61356
Bureau County (815) 875-4531
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Durable Medical Equipment & Medical Supplies
530 PARK AVE E
PRINCETON, IL 61356
Bureau County (815) 876-3068
DR. ELIE CHUKRI DANIEL D. P. M.
Podiatrist (Foot & Ankle Surgery)
530 PARK AVE E, SUITE 204
PRINCETON, IL 61356
Bureau County (815) 875-2643
LOUIS J. FOLEY, M.D. GYNECOLOGY, LTD
Clinic/Center
530 PARK AVE E, SUITE 205
PRINCETON, IL 61356
Bureau County (815) 872-9491
GARY W HOELLE
Podiatrist (Primary Podiatric Medicine)
530 PARK AVE E, SUITE 301
PRINCETON, IL 61356
Bureau County (815) 872-3034
MARK W. WILLIAMS, M.D., PH.D., GENERAL SURGERY, S.C.
Surgery
530 PARK AVE E, SUITE 205
PRINCETON, IL 61356
Bureau County (815) 872-9491

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 Jennifer Derubeis's NPI number?

The NPI number for Jennifer Derubeis is 1710605951. It was assigned to this individual provider in the NPPES registry on August 15, 2022.

Where is Jennifer Derubeis located?

Jennifer Derubeis practices at 530 Park Ave E, Princeton, IL 61356. The listed phone number is (815) 875-2811.

What is Jennifer Derubeis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Derubeis enrolled in Medicare?

Yes. Jennifer Derubeis 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 Jennifer Derubeis affiliated with any hospitals?

According to CMS data, Jennifer Derubeis is affiliated with Osf Saint Clare Medical Center.

When was this NPI record last updated?

The NPPES record for Jennifer Derubeis was last updated on August 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.