JENNIFER S PEMBLE NNP-BC
NPI 1811248651
Nurse Practitioner - Neonatal in Urbana, IL

Q: What is Jennifer Pemble's NPI number?

The NPI number for Jennifer Pemble is 1811248651. It was assigned to this individual provider in the NPPES registry on September 19, 2012. The provider is also known as Jennifer S Gibbs Nnp-Bc.

Q: What is Jennifer Pemble's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Pemble was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 19, 2012PECOS Enrolled

611 W PARK ST, URBANA, IL 61801(217) 383-3266(217) 383-3463 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2022, May 3, 2022 (2 updates tracked since 2022).

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About Jennifer S Pemble Nnp-bc NPPES

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

JENNIFER S PEMBLE NNP-BC (NPI 1811248651) is an individual neonatal provider in Urbana, Illinois, licensed in Illinois (209009760) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811248651

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameJENNIFER S PEMBLECredential: NNP-BC

Location Address611 W PARK STUrbana, IL 61801-2529

Mailing Address611 W Park StUrbana, IL 61801-2529

Phone(217) 383-3266

Fax(217) 383-3463

Sole ProprietorNo

Enumeration DateSeptember 19, 2012

Last NPPES UpdateMay 19, 20222 updates tracked since enumeration

NPPES CertifiedMay 19, 2022

✔ NPI 1811248651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LN0000X

Licenses✔ Licensed in IL · 209009760✔ Licensed in MO · 2020010760

611 W PARK ST, Urbana, IL 61801

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Other Names 1

Former Name (1)Jennifer S Gibbs Nnp-bc

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 S Pemble Nnp-bc 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 61801 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. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology