Individual provider Active NPI

Jennifer Ann Kern, APN

  • Nurse Practitioner
  • Hinsdale, IL
National Provider Identifier
1700323185
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209015331 Issued in IL
Practice address
534 Chestnut St
St. 210
Hinsdale, IL 60521-3167
Phone
(630) 323-7833
Fax
(630) 323-7410
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209015331 IL Primary

Addresses

Primary practice location

534 Chestnut St
St. 210
Hinsdale, IL 60521-3167

Mailing address

534 Chestnut St
St. 210
Hinsdale, IL 60521-3167
Phone (630) 323-7833

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
I20170217001126 IL Practitioner - Nurse Practitioner 2961785951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Internal Medicine of Illinois LLCGroup PAC ID 0648336313, 5 clinicians

Practice addresses (Care Compare)

630 W Ogden Ave
Hinsdale, IL 60521-3158
Phone (630) 325-9630

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209015331ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Internal Medicine of Illinois LLC CurrentSince Feb 1, 2017 Accepting new patients

Locations

534 W Chestnut St
Ste 210
Hinsdale, IL 60521
Phone (630) 323-7833

630 W Ogden Ave
Hinsdale, IL 60521

630 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-9630

7050 S Madison St
Willowbrook, IL 60527
Phone (630) 323-3680

Interoperability endpoints

  • Direct secure messaging: jkern254322@direct.myadvocateaurora.org

Organizations & group practices 1

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.

Hospital & facility affiliations 8

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": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1700323185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 CHESTNUT ST",
            "address_2": "ST. 210",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213167",
            "telephone_number": "630-323-7833",
            "fax_number": "630-323-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 CHESTNUT ST",
            "address_2": "ST. 210",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213167",
            "telephone_number": "630-323-7833",
            "fax_number": "630-323-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.