Kelly Marie Jung, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.018725 Issued in IL

Practice address

133 E Brush Hill Rd Ste 202
Elmhurst, IL 60126-5661

Phone

(331) 231-6200

Fax

(331) 231-6201

NPI assigned

Aug 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiovascular Institute Gpe IncGroup PAC ID 9739697574, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
• Edward Hospital Hospital, Naperville, IL, CCN 140231

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cardiovascular Institute Gpe Inc

  • Cardiovascular Disease Physician
  • Naperville, IL
  • NPI 1992594022
  Medicare reassignment Care Compare group NPD
• Midwest Cardiovascular Institute SC

  • Cardiovascular Disease Physician
  • Naperville, IL
  • NPI 1003491549
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Edward Hospital

  • General Acute Care Hospital
  • Naperville, IL
  • NPI 1427069632
  Care Compare affiliation
• Elmhurst Memorial Hospital

  • General Acute Care Hospital
  • Elmhurst, IL
  • NPI 1548306343
  Care Compare affiliation

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1316592256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD STE 202",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265661",
            "telephone_number": "331-231-6200",
            "fax_number": "331-231-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD STE 202",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265661",
            "telephone_number": "331-231-6200",
            "fax_number": "331-231-6201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 Delnor Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "60134",
            "country_code": "US",
            "telephone_number": "630-232-0280",
            "fax_number": "630-315-1469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 N Winfield Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "IL",
            "postal_code": "60190",
            "country_code": "US",
            "telephone_number": "630-232-0280",
            "fax_number": "630-232-3895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209018725",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.018725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.amitahealth.org",
            "affiliation": "N",
            "address_1": "800 Biesterfield Rd",
            "city": "Elk Grove Village",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600073361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Scott H Jonkman, PHARM.D.
• Laportia Jordan
• Katarina D. Jose, APN-CNP
• Darcy Lynn Josephson, MS CCC-SLP/L
• Jenna Julian
• Junie Allergy & Asthma PLLC
• Laura M Jurgenson, PTA
• K Webb Wellness LLC
• Philip Paul Kaiser, DNP, CRNA
• Alicia Kalinich, RD

• Family Nurse Practitioner in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.