JENA C NOWICKI (NP-C) – Family Nurse Practitioner, NPI 1558852699

JENA C NOWICKI (NP-C) is a healthcare provider. based in Coal city, Illinois. specializing in Family Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. 209017696 (IL). The NPI Number for JENA C NOWICKI (NP-C) is 1558852699

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JENA C NOWICKI (NP-C)
NPI
1558852699
Phone
(815) 634-0100
Address
5775 E STATE ROUTE 113
Enumeration Date
24 May 2018
Last Update Date
19 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8155842719
Graduation Year
2018 (8 years ago)
PAC ID
0143578948
Group Practice PAC ID
3274434717
Professional Enrollment ID
I20180810001631

Contacts

Secure Messaging
jmartis7431@Direct.riversidehealthcare.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

Provider Addresses for JENA C NOWICKI (NP-C)

  • 5775 E STATE ROUTE 113

    COAL CITY, IL 604167111

    Phone: (815) 634-0100

    Fax: (815) 634-2900

    Type: Location

  • 25711 S Egyptian Trl

    Monee, IL 604498118

    Phone: (708) 534-7523

    Fax: (708) 534-7657

    Type: Location

  • 380 W North St

    Manhattan, IL 604429839

    Phone: (815) 478-4975

    Fax: (815) 478-4976

    Type: Location

  • 1490 E Walnut St Ste A

    Watseka, IL 609701806

    Phone: (815) 432-7693

    Fax: (815) 936-7228

    Type: Location

  • 720B S Crescent St

    Gilman, IL 609381518

    Phone: (815) 265-4255

    Fax: (815) 265-4257

    Type: Location

  • 106B Watters Dr

    Dwight, IL 604202200

    Phone: (815) 584-2719

    Fax: (815) 936-3851

    Type: Location

  • 990 N Kinzie Ave

    Bradley, IL 609151233

    Phone: (815) 933-2589

    Fax: (815) 634-5253

    Type: Location

  • 2080 N State Route 50

    Bourbonnais, IL 60914

    Phone: (815) 936-6012

    Fax: (815) 936-7231

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2024-04-22 • Largest payer in this snapshot: ABBVIE INC. ($42).

Total Amount

$74

General + Research + Ownership

Payments

4

Total payment records

General Amount

$74

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-22

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: 2018-08-10

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
I20180810001631INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes149135$0
81003Automated urinalysis test2625$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza1515$0
View full utilization report →

Insurance plans in this area (ZIP 60416)

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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: 3274434717View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O L O G YIL
Physician AssistantIL
-IL
-IL
-IL
Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
N E U R O L O G YNY

Reviews

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Frequently asked questions

Is there an official ID for JENA C NOWICKI (NP-C) in U.S. healthcare records?
The official identifier for JENA C NOWICKI (NP-C) is NPI 1558852699.
Would JENA C NOWICKI (NP-C) appear as active to a payer?
You can treat JENA C NOWICKI (NP-C) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JENA C NOWICKI (NP-C)?
JENA C NOWICKI (NP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JENA C NOWICKI (NP-C) located near Coal City?
JENA C NOWICKI (NP-C) currently maps to Coal City, Illinois in this extract.
What does 9 location(s) imply?
9 practice locations appear in the available data.

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