Active NPI
Victoria Kristine Jensen
- Family Nurse Practitioner
- St Charles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.023026
- Practice address
- 2900 Foxfield Rd Ste 102
St Charles, IL 60174-5799 - Phone
- (877) 377-1188
- Fax
- (630) 377-7360
- NPI assigned
- Mar 22, 2021
- Last updated
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.023026 | IL | Primary |
Addresses
Primary practice location
2900 Foxfield Rd Ste 102
St Charles, IL 60174-5799
Mailing address
13441 Shepard Way
Santa Ana, CA 92705-2290
Phone (714) 833-2287
Other practice location 1
4111 W 26th St Ste 200
Chicago, IL 60623-4992
Phone (877) 377-1188
Other practice location 2
2425 W 22nd St Ste 207A
Oak Brook, IL 60523-1245
Phone (877) 377-1188
Other practice location 3
645 S Central Ave
Chicago, IL 60644-5059
Phone (877) 377-1188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.023026 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Orthopedics & Sports Medicine LLC | Past | Accepting new patients | |
| Genesis Orthopedics & Sports Medicine LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- St Charles, IL
- NPI 1346389061
-
dba Genesis Orthopedics & Sports Medicine DME
- Durable Medical Equipment & Medical Supplies
- Oak Brook, IL
- NPI 1467954016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1407432180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13441 SHEPARD WAY",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927052290",
"telephone_number": "714-833-2287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 FOXFIELD RD STE 102",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601745799",
"telephone_number": "877-377-1188",
"fax_number": "630-377-7360"
}
],
"practiceLocations": [
{
"address_1": "4111 W 26th St Ste 200",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606234992",
"country_code": "US",
"telephone_number": "877-377-1188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2425 W 22nd St Ste 207A",
"address_purpose": "LOCATION",
"city": "Oak Brook",
"state": "IL",
"postal_code": "605231245",
"country_code": "US",
"telephone_number": "877-377-1188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "645 S Central Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606445059",
"country_code": "US",
"telephone_number": "877-377-1188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENSEN",
"first_name": "VICTORIA",
"middle_name": "KRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-22",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.023026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.