JENNIFER LIZEN – Nurse Practitioner, NPI 1144094822

JENNIFER LIZEN is a healthcare provider. based in New lenox, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209.028243 (IL). The NPI Number for JENNIFER LIZEN is 1144094822

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LIZEN
NPI
1144094822
Phone
(773) 573-3558
Address
1536 EDENTENNY RD
Enumeration Date
13 November 2023
Last Update Date
13 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6306296298
Graduation Year
2023 (3 years ago)
PAC ID
9638519283
Group Practice PAC ID
2466427158
Professional Enrollment ID
I20240430000401
Address ID
IL601484647LO244XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for JENNIFER LIZEN

  • 1536 EDENTENNY RD

    NEW LENOX, IL 604512947

    Phone: (773) 573-3558

    Type: Mailing

  • 819 CAMPUS DR

    JOLIET, IL 604358573

    Phone: (779) 204-5242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $185.

Total Amount is formed as General ($185) + Research ($0) + Ownership ($0) = $185.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Axonics, Inc. ($117).

Total Amount

$185

General + Research + Ownership

Payments

4

Total payment records

General Amount

$185

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-30

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
I20240430000401INurse PractitionerILTBD

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 60451)

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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: 2466427158View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementIL
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIN
Nurse PractitionerIL
Anesthesiology, Interventional Pain Management, Pain ManagementIL
C H I R O P R A C T I CIL
Nurse PractitionerIL
Physician AssistantIL
C H I R O P R A C T I CIL

Reviews

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Frequently asked questions

What unique ID ties claims to JENNIFER LIZEN?
NPI 1144094822 is assigned to JENNIFER LIZEN under the national enumeration system.
Is JENNIFER LIZEN's NPI currently valid?
The extract we use shows JENNIFER LIZEN as active.
Does JENNIFER LIZEN list a primary specialty?
If you are matching referrals, note Nurse Practitioner for JENNIFER LIZEN. Clinical services aligned with this taxonomy classification.
Where is JENNIFER LIZEN's primary listing?
We display New Lenox, Illinois because that is what the record indicates for JENNIFER LIZEN.
What if New Lenox, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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