JENNIFER L NABONG APN, FNP
NPI 1780912204
Nurse Practitioner - Family in Mokena, IL

Q: What is Jennifer Nabong's NPI number?

The NPI number for Jennifer Nabong is 1780912204. It was assigned to this individual provider in the NPPES registry on November 20, 2009. The provider is also known as Jennifer L. Waas.

Q: What is Jennifer Nabong'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 Jennifer Nabong was last updated on May 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 20, 2009PECOS Enrolled

11200 W LINCOLN HWY, MOKENA, IL 60448(815) 464-2171 Get Directions Write a Review

NPPES record last updated: May 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jennifer L Nabong Apn, Fnp NPPES

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

JENNIFER L NABONG APN, FNP (NPI 1780912204) is an individual family provider in Mokena, Illinois, licensed in Illinois (209007794) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kenosha.

NPPES Registry Identity

NPI1780912204

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER L NABONGCredential: APN, FNP

Location Address11200 W LINCOLN HWYMokena, IL 60448-8208

Mailing Address11200 W Lincoln HwyMokena, IL 60448-8208

Phone(815) 464-2171

Sole ProprietorNo

Enumeration DateNovember 20, 2009

Last NPPES UpdateMay 27, 2019

✔ NPI 1780912204 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

Licenses✔ Licensed in IL · 209007794✔ Licensed in WI · 5804-33

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209-007794 (IL)

11200 W LINCOLN HWY, Mokena, IL 60448

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Other Names 1

Former Name (1)Jennifer L. Waas

Secondary Practice Location 1

Location 13710 57th AveKenosha, WI 53144-4820 · Phone (262) 652-1945

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer L Nabong Apn, Fnp 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 60448 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.

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA PHILLIPS

Nurse Practitioner (Family)