Individual provider Active NPI

Jennifer Lynn Dole, APRN, CCNS-BC

  • Critical Care Medicine Nurse Practitioner
  • Kankakee, IL
National Provider Identifier
1376892398
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
209009944 Issued in IL
Practice address
500 N Wall St Ste C100
Kankakee, IL 60901-2942
Phone
(815) 933-4400
Fax
(815) 933-9646
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Clinical Nurse Specialist 364SC0200X 209.009944 IL
Registered Nurse 163W00000X 041.348114 IL
Critical Care Medicine Nurse Practitioner 363LC0200X 209009944 IL Primary

Addresses

Primary practice location

500 N Wall St Ste C100
Kankakee, IL 60901-2942

Mailing address

500 N Wall St Ste C500
Kankakee, IL 60901-2942
Phone (779) 803-3284

Other names 1

  • Jennifer Lynn Curby Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdole6969@Direct.riversidehealthcare.net Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140109000792 IL Practitioner - Certified Clinical Nurse Specialist (CNS) 3971731340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgical Associates S CGroup PAC ID 7214916402, 48 clinicians

Practice addresses (Care Compare)

4400 W 95TH St
Suite 308
Oak Lawn, IL 60453-2660
Phone (708) 346-4040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.348114ILMDRegistered Nurse
209.009944ILMDCritical Care Medicine Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Health System CurrentSince Nov 18, 2013 Accepting new patients
Cardiothoracic & Vascular Surgical Associates S C CurrentSince Feb 24, 2023 Accepting new patients
Riverside Health System CurrentSince Nov 18, 2013 Accepting new patients

Locations

720 S Crescent St
Gilman, IL 60938
Phone (815) 265-4255

500 N Wall St
#C500
Kankakee, IL 60901

500 N Wall St
Ste 100
Kankakee, IL 60901
Phone (815) 933-2557

1905 W Court St
Kankakee, IL 60901
Phone (815) 933-2240

500 N Wall St
Ste C500
Kankakee, IL 60901

500 N Wall St
Ste C100
Kankakee, IL 60901
Phone (844) 404-4787

890 Garfield Ave
Ste 101
Libertyville, IL 60048
Phone (847) 990-5636

4400 W 95th St
Ste 308
Oak Lawn, IL 60453
Phone (708) 346-4040

611 S Division St
Peotone, IL 60468
Phone (708) 258-9058

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Interoperability endpoints

  • Direct secure messaging: jdole6969@direct.riversidehealthcare.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1376892398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N WALL ST STE C500",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012942",
            "telephone_number": "779-803-3284",
            "fax_number": "815-214-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N WALL ST STE C100",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012942",
            "telephone_number": "815-933-4400",
            "fax_number": "815-933-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN, CCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "IL",
            "license": "209.009944",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.348114",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "IL",
            "license": "209009944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdole6969@Direct.riversidehealthcare.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 N Wall St Ste C100",
            "city": "Kankakee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609012942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CURBY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kankakee, IL

Sources for this page

Verify at the official NPI Registry.