JENNIFER NICOLE DICKERT (RN) – Certified Registered Nurse Anesthetist, NPI 1235914532

JENNIFER NICOLE DICKERT (RN) is a healthcare provider. based in Schaumburg, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. 041467912 (IL). The NPI Number for JENNIFER NICOLE DICKERT (RN) is 1235914532

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
JENNIFER NICOLE DICKERT (RN)
NPI
1235914532
Phone
(630) 624-7034
Address
303 W BEECH DR
Enumeration Date
28 August 2023
Last Update Date
4 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083521200
Graduation Year
2025 (1 year ago)
PAC ID
7618477092
Group Practice PAC ID
8123929940
Professional Enrollment ID
I20250820004350
Address ID
IL605252600LA5101XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:2State licenses:2Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for JENNIFER NICOLE DICKERT (RN)

  • 303 W BEECH DR

    SCHAUMBURG, IL 601931550

    Phone: (630) 624-7034

    Type: Mailing

  • 3333 GREEN BAY RD

    NORTH CHICAGO, IL 600643037

    Phone: (630) 624-7034

    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: 2025-08-20

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
I20250820004350ICertified Registered Nurse Anesthetist (Crna)ILTBD

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 60193)

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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: 8123929940View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Anesthesiology, Interventional Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)MI
Anesthesiology, Pain ManagementIL
Interventional Pain Management, AnesthesiologyVA
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

Can I verify JENNIFER NICOLE DICKERT (RN) with an NPI only?
You can start verification with NPI 1235914532 for JENNIFER NICOLE DICKERT (RN), then check state licensing separately.
Is JENNIFER NICOLE DICKERT (RN) still practicing?
JENNIFER NICOLE DICKERT (RN) is currently listed as active in the public NPI registry.
What taxonomy line describes JENNIFER NICOLE DICKERT (RN)?
For research purposes, treat JENNIFER NICOLE DICKERT (RN) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What area does JENNIFER NICOLE DICKERT (RN) serve?
JENNIFER NICOLE DICKERT (RN)'s listing highlights Schaumburg, Illinois; more addresses can appear in NPPES.
Is the information about JENNIFER NICOLE DICKERT (RN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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