DR. JENNIFER C DEBRULER – Internal Medicine Physician, NPI 1588656524

DR. JENNIFER C DEBRULER is a healthcare provider. based in Libertyville, Illinois. specializing in INTERNAL MEDICINE. They hold a License No. 036105592 (IL). The NPI Number for DR. JENNIFER C DEBRULER is 1588656524

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER C DEBRULER
NPI
1588656524
Phone
(847) 968-2800
Address
131 E PARK AVE
Enumeration Date
16 August 2005
Deactivation Date
23 March 2006
Reactivation Date
29 March 2006
Last Update Date
20 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
6153225000
Graduation Year
1999 (27 years ago)
PAC ID
2860426335
Group Practice PAC ID
5092023416
Professional Enrollment ID
I20220525000029
Address ID
TN372320028NA1301XDRXX400

Contacts

Secure Messaging
jdebruler723273@direct.vumc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for DR. JENNIFER C DEBRULER

  • 131, East Park Avenue, Libertyville, Lake, Illinois, 60048, United States

    SUITE 103

    LIBERTYVILLE, IL 600482800

    Phone: (847) 968-2800

    Fax: (847) 968-2801

    Type: Mailing

  • 131 E Park Ave

    Suite 103

    Libertyville, IL 600482800

    Phone: (847) 968-2800

    Fax: (847) 968-2801

    Type: Location

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372322800

    Phone: (615) 936-2000

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 103

    NASHVILLE, TN 372152691

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20051004000457IInternal MedicineILTBD
I20220525000029IInternal MedicineTNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4343$0
99213Established patient office or other outpatient visit, 20-29 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 60048)

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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: 5092023416View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Pediatric MedicineTN
-TN
-TN
Diagnostic Radiology, Interventional Pain ManagementTN
Certified Registered Nurse Anesthetist (Crna)TN
N E U R O L O G YTN
-TN
Physician AssistantTN
Internal MedicineTN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JENNIFER C DEBRULER's NPI?
Yes. DR. JENNIFER C DEBRULER is listed with NPI 1588656524 in the public NPI dataset.
Is DR. JENNIFER C DEBRULER listed as active for patients and plans?
The listing shows DR. JENNIFER C DEBRULER as active in the NPI system.
What is DR. JENNIFER C DEBRULER best known for clinically?
Directory data describes DR. JENNIFER C DEBRULER with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JENNIFER C DEBRULER?
DR. JENNIFER C DEBRULER's geographic hint is Libertyville, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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