JAYCI NICOLE DUBIK (NP-C) – Nurse Practitioner, NPI 1477081263
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JAYCI NICOLE DUBIK (NP-C)
5201 WILLOW SPRINGS ROAD
SUITE 110
LAGRANGE, IL 60525
Phone: (708) 482-4500
Fax: (708) 482-4502
Type: Mailing
5201 WILLOW SPRINGS RD STE 110
LA GRANGE HIGHLANDS, IL 605256504
Phone: (708) 482-4500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $654.
Total Amount is formed as General ($654) + Research ($0) + Ownership ($0) = $654.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Nalu Medical, Inc. ($336).
Total Amount
$654
General + Research + Ownership
Payments
26
Total payment records
General Amount
$654
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nalu Medical, Inc. | $336 |
| Abbott Laboratories | $134 |
| Averitas Pharma Inc. | $121 |
| Boston Scientific Corporation | $63 |
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: 2017-08-28
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 |
|---|---|---|---|---|
| I20170828001628 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 968 | 280 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 361 | 175 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 286 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 149 | 111 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 43 | 18 | $0 |
Insurance plans in this area (ZIP 60525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management, Interventional Pain Management | IL | |
| Physician Assistant | IL | |
| Interventional Pain Management, Anesthesiology, Pain Management | IL | |
| Nurse Practitioner | IL | |
| - | IL |
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