JACQUELINE D KECK – Family Nurse Practitioner, NPI 1326411539

JACQUELINE D KECK is a healthcare provider. based in Sycamore, Illinois. specializing in Family Nurse Practitioner. They hold a License No. 209013552 (IL). The NPI Number for JACQUELINE D KECK is 1326411539

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELINE D KECK
NPI
1326411539
Phone
(815) 217-3252
Address
1850 Gateway Dr
Enumeration Date
10 November 2015
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3129266146
Graduation Year
2015 (11 years ago)
PAC ID
0042513426
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20160119000760
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

Provider Addresses for JACQUELINE D KECK

  • 1850 Gateway Dr

    Sycamore, IL 601783192

    Phone: (815) 217-3252

    Type: Location

  • 841 N GALENA AVE

    SUITE 200

    DIXON, IL 610211568

    Phone: (815) 285-2273

    Fax: (815) 285-2276

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $363.

Total Amount is formed as General ($363) + Research ($0) + Ownership ($0) = $363.

Last reported payment date: 2024-08-10 • Largest payer in this snapshot: ABBVIE INC. ($214).

Total Amount

$363

General + Research + Ownership

Payments

7

Total payment records

General Amount

$363

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-10

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: 2016-01-19

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
I20160119000760INurse 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making2221$0
View full utilization report →

Insurance plans in this area (ZIP 60178)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I verify JACQUELINE D KECK with an NPI only?
You can start verification with NPI 1326411539 for JACQUELINE D KECK, then check state licensing separately.
Does CMS list JACQUELINE D KECK as active?
Yes — JACQUELINE D KECK is active in the NPI listing used on this page.
What is JACQUELINE D KECK best known for clinically?
Directory data describes JACQUELINE D KECK with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JACQUELINE D KECK based?
JACQUELINE D KECK is tied to Sycamore, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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