JACLYNN A JACKUBOWSKI (FNP) – Nurse Practitioner, NPI 1427485945
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JACLYNN A JACKUBOWSKI (FNP)
1256 WATERFORD DRIVE
SUITE 230
AURORA, IL 60504
Phone: (630) 499-2404
Fax: (630) 499-2399
Type: Mailing
4789 ROUTE 71
OSWEGO, IL 605437415
Phone: (630) 692-5730
Type: Location
4789 Route 71
Oswego, IL 605437415
Phone: (630) 692-5730
Type: Location
1234 NAPIER AVE
SAINT JOSEPH, MI 490852112
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $1,090.
Total Amount is formed as General ($1,090) + Research ($0) + Ownership ($0) = $1,090.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Medtronic, Inc. ($227).
Total Amount
$1,090
General + Research + Ownership
Payments
31
Total payment records
General Amount
$1,090
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
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: 2020-12-16
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 |
|---|---|---|---|---|
| I20201216001497 | I | Nurse Practitioner | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 242 | 147 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 65 | 55 | $0 |
Insurance plans in this area (ZIP 60504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
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