MRS. JUCY TIESENGA (NP) – Nurse Practitioner, NPI 1124395199

MRS. JUCY TIESENGA (NP) is a healthcare provider. based in Skokie, Illinois. specializing in Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 209009046 (IL). The NPI Number for MRS. JUCY TIESENGA (NP) is 1124395199

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JUCY TIESENGA (NP)
NPI
1124395199
Phone
(847) 657-1900
Address
9669 Kenton Ave
Enumeration Date
18 November 2011
Last Update Date
13 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6302600600
Graduation Year
2011 (15 years ago)
PAC ID
9931337292
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20140113000316

Contacts

Secure Messaging
jtiesenga313237@direct.myadvocateaurora.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

Provider Addresses for MRS. JUCY TIESENGA (NP)

  • 9669 Kenton Ave

    Suite 204

    Skokie, IL 600761266

    Phone: (847) 657-1900

    Type: Location

  • 1880 W Winchester Rd Ste 201

    Libertyville, IL 600485336

    Phone: (847) 247-0187

    Type: Location

  • 779 S COLFAX AVE

    ELMHURST, IL 601264532

    Phone: (847) 703-0305

    Type: Mailing

  • 1880 W WINCHESTER RD STE 201

    LIBERTYVILLE, IL 600485336

    Phone: (847) 247-0187

    Type: Mailing

  • 25 N WINFIELD RD STE 420

    WINFIELD, IL 601901222

    Phone: (630) 682-8700

    Fax: (630) 352-5582

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $414.

Total Amount is formed as General ($414) + Research ($0) + Ownership ($0) = $414.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Kerecis Limited ($146).

Total Amount

$414

General + Research + Ownership

Payments

5

Total payment records

General Amount

$414

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 60076)

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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: 5890696231View full group profile
NameSpecialtyState
General SurgeryIL
Vascular SurgeryIL
-IL
Nurse PractitionerIL
-IL
C H I R O P R A C T I CIL
Family PracticeIL
Physical Medicine And RehabilitationCO
-IL
Hospitalist, Family PracticeIL

Reviews

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Frequently asked questions

What federal number belongs to MRS. JUCY TIESENGA (NP)?
The federal identifier for MRS. JUCY TIESENGA (NP) is NPI 1124395199.
Is MRS. JUCY TIESENGA (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. JUCY TIESENGA (NP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for MRS. JUCY TIESENGA (NP). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. JUCY TIESENGA (NP)?
The snapshot lists Skokie, Illinois for MRS. JUCY TIESENGA (NP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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