JENALE LARAE KING – Family Nurse Practitioner, NPI 1619518370

JENALE LARAE KING is a healthcare provider. based in Dolton, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209017087 (IL). The NPI Number for JENALE LARAE KING is 1619518370

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
JENALE LARAE KING
NPI
1619518370
Phone
(773) 587-6435
Address
14813 OAK ST
Enumeration Date
3 October 2019
Last Update Date
3 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083893141
Graduation Year
2014 (12 years ago)
PAC ID
7113258492
Group Practice PAC ID
6901103647
Professional Enrollment ID
I20191017002177
Address ID
IL604532221OA9401XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for JENALE LARAE KING

  • 14813, Oak Street, Dolton, Thornton Township, Cook County, Illinois, 60419, United States

    DOLTON, IL 604192609

    Phone: (773) 587-6435

    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)

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: 2019-10-17

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
I20191017002177INurse 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes437147$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes432135$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes181174$0
View full utilization report →

Insurance plans in this area (ZIP 60419)

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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: 6901103647View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerWI
-IL
Nurse PractitionerIL
-MO
Nurse PractitionerIL
Nurse PractitionerIL
Cardiovascular Disease (Cardiology)WI

Reviews

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Frequently asked questions

What is JENALE LARAE KING's NPI number?
JENALE LARAE KING's NPI is 1619518370 — the number used across U.S. healthcare to identify this provider.
Is JENALE LARAE KING shown as active in public data?
Registry records indicate JENALE LARAE KING maintains an active NPI.
What clinical focus is listed for JENALE LARAE KING?
At a glance, JENALE LARAE KING is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JENALE LARAE KING associated with Dolton?
Public fields place JENALE LARAE KING around Dolton, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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