JENNIFER LEE KOLETTIS NP-C
NPI 1790256303
Nurse Practitioner - Family in Peoria, IL

Q: What is Jennifer Kolettis's NPI number?

The NPI number for Jennifer Kolettis is 1790256303. It was assigned to this individual provider in the NPPES registry on December 7, 2018. The provider is also known as Jennifer Bernstein.

Q: What is Jennifer Kolettis'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 Kolettis was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 07, 2018PECOS Enrolled

320 E ARMSTRONG AVE, PEORIA, IL 61603(309) 680-7600(309) 495-8614 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer Lee Kolettis Np-c NPPES

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

JENNIFER LEE KOLETTIS NP-C (NPI 1790256303) is an individual family provider in Peoria, Illinois, licensed in Illinois (041-427636) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790256303

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER LEE KOLETTISCredential: NP-C

Location Address320 E ARMSTRONG AVEPeoria, IL 61603-3172

Mailing Address2214 N University StPeoria, IL 61604-3221 · (309) 680-7669 · Fax (309) 681-8443

Phone(309) 680-7600

Fax(309) 495-8614

Sole ProprietorNo

Enumeration DateDecember 7, 2018

✔ NPI 1790256303 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 · 041-427636

320 E ARMSTRONG AVE, Peoria, IL 61603

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Other Names 1

Former Name (1)Jennifer Bernstein

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 Lee Kolettis Np-c 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 61603 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.

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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.

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