JENNIFER KRISTYN SMIGIEL (PSYD) – Clinical Psychologist, NPI 1023454709

JENNIFER KRISTYN SMIGIEL (PSYD) is a healthcare provider. based in Winfield, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 071008595 (IL). The NPI Number for JENNIFER KRISTYN SMIGIEL (PSYD) is 1023454709

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER KRISTYN SMIGIEL (PSYD)
NPI
1023454709
Phone
(630) 293-9860
Address
28W671 GARYS MILL RD
Enumeration Date
21 May 2013
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6302939860
Graduation Year
2011 (15 years ago)
PAC ID
1052849197
Group Practice PAC ID
5294918017
Professional Enrollment ID
I20250116002735
Address ID
IL601901564WI28XXXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

Provider Addresses for JENNIFER KRISTYN SMIGIEL (PSYD)

  • 28W671 GARYS MILL RD

    WINFIELD, IL 601901564

    Phone: (630) 293-9860

    Fax: (630) 293-9861

    Type: Mailing

  • 3933 75th St Ste 102

    Aurora, IL 605048015

    Phone: (630) 293-9860

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250116002735IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60190)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294918017View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical PsychologistIL
Mental Health CounselorIL
Clinical PsychologistIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical PsychologistCA
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Can I use this page to confirm JENNIFER KRISTYN SMIGIEL (PSYD)'s NPI?
Yes. JENNIFER KRISTYN SMIGIEL (PSYD) is listed with NPI 1023454709 in the public NPI dataset.
Does CMS list JENNIFER KRISTYN SMIGIEL (PSYD) as active?
Yes — JENNIFER KRISTYN SMIGIEL (PSYD) is active in the NPI listing used on this page.
What healthcare role does JENNIFER KRISTYN SMIGIEL (PSYD) hold?
Scheduling teams often label JENNIFER KRISTYN SMIGIEL (PSYD) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect JENNIFER KRISTYN SMIGIEL (PSYD) on a map?
Expect Winfield, Illinois as a primary anchor for JENNIFER KRISTYN SMIGIEL (PSYD) unless the record lists multiple sites.
Why does JENNIFER KRISTYN SMIGIEL (PSYD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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