JESSICA LYNN PETRISKO DNP, APRN
NPI 1831769751
Nurse Practitioner - Pediatrics in Oak Lawn, IL

Q: What is Jessica Petrisko's NPI number?

The NPI number for Jessica Petrisko is 1831769751. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Q: What is Jessica Petrisko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Petrisko was last updated on April 20, 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 July 01, 2021PECOS Enrolled

4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-8000 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2022, Jul 1, 2021 (2 updates tracked since 2021).

On this page

About Jessica Lynn Petrisko Dnp, Aprn NPPES

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

JESSICA LYNN PETRISKO DNP, APRN (NPI 1831769751) is an individual pediatrics provider in Oak Lawn, Illinois, licensed in Illinois (209022027) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831769751

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJESSICA LYNN PETRISKOCredential: DNP, APRN

Location Address4440 W 95TH STOak Lawn, IL 60453-2600

Mailing Address2728 N Hampden Ct Apt 1701Chicago, IL 60614-1629 · (708) 822-9008

Phone(708) 684-8000

Sole ProprietorNo

Enumeration DateJuly 1, 2021

Last NPPES UpdateApril 20, 20222 updates tracked since enumeration

NPPES CertifiedApril 20, 2022

✔ NPI 1831769751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in IL · 209022027

4440 W 95TH ST, Oak Lawn, IL 60453

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Petrisko Dnp, Aprn 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 60453 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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. MARK ADRIAN FAASSE MD

Urology