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KEYOMA DONTA JAMERSON APN
NPI 1790105195
Nurse Practitioner - Family in Kankakee, IL

Active since April 24, 2014PECOS EnrolledAccepts Medicare Assignment
1701 E COURT, KANKAKEE, IL 60901(815) 995-9394 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Keyoma Donta Jamerson Apn NPPES

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

KEYOMA DONTA JAMERSON APN (NPI 1790105195) is an individual family provider in Kankakee, Illinois, licensed in Illinois (209011266) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1790105195
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEYOMA DONTA JAMERSONCredential: APN
Location Address1701 E COURTKankakee, IL 60901-3661
Mailing Address1701 E CourtKankakee, IL 60901-4541 · (815) 671-2992
Phone(815) 995-9394
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 24, 2014
Last NPPES UpdateFebruary 24, 2016
✔ NPI 1790105195 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 · 209011266
1701 E COURT, Kankakee, IL 60901
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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

Keyoma Donta Jamerson Apn 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 ID143535773
PECOS Enrollment IDI20150812006240
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60901 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
1 supplier12 claims24 services$13.56 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier12 claims24 services$2.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Keyoma Jamerson's NPI number?

The NPI number for Keyoma Jamerson is 1790105195. It was assigned to this individual provider in the NPPES registry on April 24, 2014.

Where is Keyoma Jamerson located?

Keyoma Jamerson practices at 1701 E Court, Kankakee, IL 60901. The listed phone number is (815) 995-9394.

What is Keyoma Jamerson's specialty?

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

Is Keyoma Jamerson enrolled in Medicare?

Yes. Keyoma Jamerson 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 Keyoma Jamerson affiliated with any hospitals?

According to CMS data, Keyoma Jamerson is affiliated with University Of Illinois Hospital And Clinics and Riverside Medical Center.

When was this NPI record last updated?

The NPPES record for Keyoma Jamerson was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.