MRS. JENNIFER LYNN DOLE (APRN, CCNS-BC) – Critical Care Medicine Clinical Nurse Specialist, NPI 1376892398
Critical Care Medicine Clinical Nurse Specialist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
137 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in IL
Provider Addresses for MRS. JENNIFER LYNN DOLE (APRN, CCNS-BC)
500 N WALL ST STE C100
KANKAKEE, IL 609012942
Phone: (815) 933-4400
Fax: (815) 933-9646
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $260.
Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.
Last reported payment date: 2024-01-23 • Largest payer in this snapshot: Surmodics, Inc. ($42).
Total Amount
$260
General + Research + Ownership
Payments
15
Total payment records
General Amount
$260
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-01-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140109000792 | I | Certified Clinical Nurse Specialist (Cns) | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 32 | 32 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 60901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Physician Assistant | IL | |
| Thoracic Surgery, Cardiac Surgery | IL | |
| Thoracic Surgery, Cardiac Surgery, General Surgery | IL | |
| Nurse Practitioner | IL | |
| Cardiac Surgery, Thoracic Surgery | NC | |
| Thoracic Surgery | IL |
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