Jenna T Winsko, ANP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209009979 Issued in IL

Practice address

360 Station Dr
Suite 120
Crystal Lake, IL 60014-7978

Phone

(815) 477-8900

Fax

(815) 477-7160

NPI assigned

Nov 7, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Jenna T Buss Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1013261361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 STATION DR",
            "address_2": "SUITE 120",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147978",
            "telephone_number": "815-477-8900",
            "fax_number": "815-477-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STATION DR",
            "address_2": "SUITE 120",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147978",
            "telephone_number": "815-477-8900",
            "fax_number": "815-477-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSKO",
        "first_name": "JENNA",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209009979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "BUSS",
            "middle_name": "T",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie Wilson, D.M.D.
• Kimberly Wilson
• Paul Kevin Wilson, DDS
• Tiffany Andrae Wilson
• Mackenzie Winkiel
• Emily Jeanne Winters
• Wisconsin Illinois Senior Housing Inc.
• Megan L Wisser-Chung, RD, LDN
• Withania Natural Health, SC
• Andrew Woenker

• Adult Health Nurse Practitioner in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.