Kristin Lauren Jeziorny, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209016608 Issued in IL

Practice address

6860 N Frontage Rd Ste 100
Burr Ridge, IL 60527-7829

Phone

(630) 947-6131

NPI assigned

May 2, 2018

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

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eon Care Clinicians PCGroup PAC ID 1052833951, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Eon Care Clinicians PC

  • Nurse Practitioner
  • Germantown, MD
  • NPI 1073332490

  IL

  Medicare reassignment Care Compare group NPD
• First Choice Occupational Health, LLC.

  • Occupational Medicine Clinic/Center
  • Naperville, IL
  • NPI 1245502616
  NPD (past)

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1326537655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 N FRONTAGE RD STE 100",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277829",
            "telephone_number": "630-947-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 N FRONTAGE RD STE 100",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277829",
            "telephone_number": "630-947-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEZIORNY",
        "first_name": "KRISTIN",
        "middle_name": "LAUREN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jaramillo, M.S., LCPC
• Brianna Jasien, LPC
• Lisa Marie Jaworski, MSN, APRN, PMHNP-BC
• Hye R Jeon, MD
• Jesse K. Park MD SC
• Jme Medical Services
• Marjorie C Johnson, OTR/L
• Michael Anthony Johnson, PHARMD
• Tarrah Johnson
• Grace Joo, DPT

• Family Nurse Practitioner in Burr Ridge, IL
• Providers in Burr Ridge, 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 May 2, 2018; 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.