JENELLE KUBIAK MSN, RN, APNP
NPI 1760967525
Nurse Practitioner - Family in Burr Ridge, IL

Q: What is Jenelle Kubiak's NPI number?

The NPI number for Jenelle Kubiak is 1760967525. It was assigned to this individual provider in the NPPES registry on September 27, 2018.

Q: What is Jenelle Kubiak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jenelle Kubiak was last updated on May 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 27, 2018PECOS Enrolled

1000 BURR RIDGE PKWY STE 201, BURR RIDGE, IL 60527(312) 818-4650 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jenelle Kubiak Msn, Rn, Apnp NPPES

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

JENELLE KUBIAK MSN, RN, APNP (NPI 1760967525) is an individual family provider in Burr Ridge, Illinois, licensed in Illinois (209028017) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Berlin.

NPPES Registry Identity

NPI1760967525

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENELLE KUBIAKCredential: MSN, RN, APNP

Location Address1000 BURR RIDGE PKWY STE 201Burr Ridge, IL 60527-0864

Mailing AddressPo Box 639295 Dept 93394Cincinnati, OH 45263-9295 · (248) 266-4200

Phone(312) 818-4650

Sole ProprietorNo

Enumeration DateSeptember 27, 2018

Last NPPES UpdateMay 20, 2024

NPPES CertifiedMay 20, 2024

✔ NPI 1760967525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209028017

Also ListedNurse PractitionerTaxonomy 363L00000X · License 220319-30 (WI)

1000 BURR RIDGE PKWY STE 201, Burr Ridge, IL 60527

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Secondary Practice Location 1

Location 12775 S Moorland Rd Ste 201New Berlin, WI 53151-3718 · Phone (262) 785-1356

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenelle Kubiak Msn, Rn, Apnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60527 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.