MRS. JENELL DIANE JACKLEY CPNP
NPI 1942502612
Nurse Practitioner - Pediatrics in Kenosha, WI
About Mrs. Jenell Diane Jackley Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENELL DIANE JACKLEY CPNP (NPI 1942502612) is an individual pediatrics provider in Kenosha, Wisconsin, licensed in Wisconsin (12260-33) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jenell Diane Jackley Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jenell Jackley's NPI number?
The NPI number for Jenell Jackley is 1942502612. It was assigned to this individual provider in the NPPES registry on November 30, 2010.
Where is Jenell Jackley located?
Jenell Jackley practices at 4006 Washington Rd, Kenosha, WI 53144. The listed phone number is (262) 656-0044.
What is Jenell Jackley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jenell Jackley enrolled in Medicare?
Yes. Jenell Jackley is registered in the Medicare PECOS enrollment system.
What insurance does Jenell Jackley accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Jenell Jackley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jenell Jackley was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Jenell Diane Jackley, CPNP · NPI 1942502612
Pediatrics physician in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since November 30, 2010.
## Identity
- **NPI:** 1942502612 (Entity type: Individual)
- **Enumerated:** November 30, 2010
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 12260-33 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4006 WASHINGTON RD, Kenosha, WI 53144-4819
- **Phone:** (262) 656-0044
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1942502612) · Data from the CMS NPPES public registry.