Jennifer A Kubelka, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209018958 Issued in IL

Practice address

2015 S Finley Rd Apt 909
Lombard, IL 60148-4849

Phone

(630) 747-3603

NPI assigned

Mar 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Chicagoland Integrated Professionals, Inc

  • Family Medicine Physician
  • Westchester, IL
  • NPI 1649688409

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1982162715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 S FINLEY RD APT 909",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484849",
            "telephone_number": "630-747-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 S FINLEY RD APT 909",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484849",
            "telephone_number": "630-747-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBELKA",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209018958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanadda Krueger
• Kevin Gregory Krug, DDS
• Tracy Y Krupka, COTA/L
• Laura Jean Krystal, L.C.P.C.
• Monika Krystopa
• Dianna L Kucera, PSY.D.
• Emily Kuderna
• Clarke Kueltzo, PHARMD.
• Jesse Lauren Kulig, DO
• Samir T Kumar, MD

• All providers in Lombard, IL
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.