JENNIFER ANN SERDIUK (APN) – Family Nurse Practitioner, NPI 1255734877

JENNIFER ANN SERDIUK (APN) is a healthcare provider. based in Evanston, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209011809 (IL). The NPI Number for JENNIFER ANN SERDIUK (APN) is 1255734877

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER ANN SERDIUK (APN)
NPI
1255734877
Phone
(847) 570-2040
Address
2650 RIDGE AVE STE 1223
Enumeration Date
28 September 2014
Last Update Date
2 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
9830411800
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20141202000458
Address ID
IL602011700EV2650XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for JENNIFER ANN SERDIUK (APN)

  • 2650 RIDGE AVE STE 1223

    EVANSTON, IL 602011700

    Phone: (847) 570-2040

    Fax: (847) 733-5315

    Type: Mailing

  • 2875 W 19TH ST

    CHICAGO, IL 606233501

    Phone: (773) 484-1000

    Type: Location

  • 303 W Lake St

    Addison, IL 601012586

    Phone: (630) 527-3645

    Fax: (331) 221-3983

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-09-29 • Largest payer in this snapshot: CSL Behring ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$20
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: 2014-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (890 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20141202000458INurse PractitionerIL2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9189$0
99214Established patient office or other outpatient visit, 30-39 minutes3636$0
99203New patient office or other outpatient visit, 30-44 minutes3535$0
U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc2020$0
81002Urinalysis, manual test1716$0
View full utilization report →

Insurance plans in this area (ZIP 60201)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

What is the registry number for JENNIFER ANN SERDIUK (APN)?
The registry entry for JENNIFER ANN SERDIUK (APN) shows NPI 1255734877.
Is JENNIFER ANN SERDIUK (APN) currently accepting referrals based on NPI status?
Registry metadata lists JENNIFER ANN SERDIUK (APN) as active.
What services align with JENNIFER ANN SERDIUK (APN)'s listing?
JENNIFER ANN SERDIUK (APN)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JENNIFER ANN SERDIUK (APN) tied to Evanston, Illinois?
If you are local to Evanston, Illinois, JENNIFER ANN SERDIUK (APN) may be relevant to your search.
Who maintains JENNIFER ANN SERDIUK (APN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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