Jenelle Kubiak, MSN, RN, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209028017 Issued in IL

Practice address

1000 Burr Ridge Pkwy Ste 201
Burr Ridge, IL 60527-0864

Phone

(312) 818-4650

NPI assigned

Sep 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

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.

• Vpa PC

  • Family Medicine Physician
  • Oakbrook Terrace, IL
  • NPI 1174925663
  NPD
• Vpa PC

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1578363362
  NPD
• Hospice Preferred Choice, Inc

  • Community Based Hospice Care Agency
  • Brookfield, WI
  • NPI 1760421739
  NPD (past)

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1760967525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-266-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BURR RIDGE PKWY STE 201",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270864",
            "telephone_number": "312-818-4650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2775 S Moorland Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "New Berlin",
            "state": "WI",
            "postal_code": "531513718",
            "country_code": "US",
            "telephone_number": "262-785-1356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBIAK",
        "first_name": "JENELLE",
        "credential": "MSN, RN, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "220319-30",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209028017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle M Kraus, LCPC
• Thomas Krausz, MD
• Dawn Krawczyk, M.S., LCPC
• Beth Anne Krueger, PTA
• David Krueger, DC
• Tammaji P. Kulkarni, M. D.
• Patricia L Kurtz, MD
• Jessica L. Kush, LCPC, CCTP, TCTSY-F
• Megan Anne Lamphere, DPT, PT
• Romeen Lavani, MD

• 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 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.