Individual provider Active NPI

Jennifer G Dzemske, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Skokie, IL
National Provider Identifier
1457606121
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13844 Issued in WI
Practice address
5454 Fargo Ave
Skokie, IL 60077-3210
Phone
(847) 221-6040
Fax
(847) 213-2156
NPI assigned
Jul 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 315608-31 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13844 WI Primary

Addresses

Primary practice location

5454 Fargo Ave
Skokie, IL 60077-3210

Mailing address

5454 Fargo Ave
Skokie, IL 60077-3210
Phone (847) 221-6040

Other identifiers 1

IdentifierTypeStateIssuer
UNKNOWNMedicaidWI

Other names 1

  • Jennifer L Guenther Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20231005001049 WI Practitioner - Nurse Practitioner 9234584608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wi SHMH SCGroup PAC ID 7012455462, 9 clinicians

Practice addresses (Care Compare)

18740 W Bluemound Rd
Brookfield, WI 53045-2936
Phone (773) 332-7539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
315608-31WIMDLicensed Practical Nurse
13844WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Healthcare, Inc CurrentSince Sep 1, 2023 Accepting new patients
Horizon Healthcare, Inc CurrentSince Sep 1, 2023 Accepting new patients
Wi SHMH SC CurrentSince Oct 1, 2025 Accepting new patients

Locations

5454 Fargo Ave
Skokie, IL 60077
Phone (847) 674-5454

18740 W Bluemound Rd
Brookfield, WI 53045
Phone (262) 782-0230

3410 80th St
Kenosha, WI 53142
Phone (262) 697-0825

5408 W Burleigh St
Milwaukee, WI 53210
Phone (414) 445-6520

5005 W Howard Ave
Milwaukee, WI 53220

2835 N 32nd St
Milwaukee, WI 53210
Phone (414) 342-6200

4650 S Howell Ave
Milwaukee, WI 53207
Phone (414) 294-0144

2819 W Highland Blvd
Milwaukee, WI 53208
Phone (414) 939-7145

5555 N 51st St
Milwaukee, WI 53218
Phone (414) 527-6940

835 Wisconsin Ave
Racine, WI 53403

741 N Grand Ave
Ste 200
Waukesha, WI 53186
Phone (262) 309-6243

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1457606121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 FARGO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773210",
            "telephone_number": "847-221-6040",
            "fax_number": "847-213-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 FARGO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773210",
            "telephone_number": "847-221-6040",
            "fax_number": "847-213-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZEMSKE",
        "first_name": "JENNIFER",
        "middle_name": "G",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "315608-31",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "13844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UNKNOWN",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GUENTHER",
            "middle_name": "L",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.