JENNIFER BUSSELL (MD) – Internal Medicine Physician, NPI 1740219567

JENNIFER BUSSELL (MD) is a healthcare provider. based in Riverside, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036-096063 (IL). The NPI Number for JENNIFER BUSSELL (MD) is 1740219567

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER BUSSELL (MD)
NPI
1740219567
Phone
(708) 783-6500
Address
3722 HARLEM AVE STE 101
Enumeration Date
2 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
2961583901
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20080116000466
Address ID
IL600302012GR1475XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for JENNIFER BUSSELL (MD)

  • Harlem Avenue, North Riverside, Proviso Township, Cook County, Illinois, 60130, United States

    RIVERSIDE, IL 605462331

    Phone: (708) 783-6500

    Type: Location

  • 2368 PAYSPHERE CIR

    CHICAGO, IL 606742368

    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: 2008-01-16

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080116000466IInternal MedicineILTBD

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 minutes393246$0
99215Established patient office or other outpatient visit, 40-54 minutes385211$0
36415Insertion of needle into vein for collection of blood sample202156$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit184184$0
83036Hemoglobin a1c level150117$0
View full utilization report →

Insurance plans in this area (ZIP 60546)

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Provider's Procedures

JENNIFER BUSSELL (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL85610Blood test, clotting time14014
INTERNAL MEDICINEIL90670Pneumococcal vaccine for injection into muscle8181

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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

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Frequently asked questions

What is the standard ID for JENNIFER BUSSELL (MD) in the U.S.?
In the U.S., JENNIFER BUSSELL (MD) is identified by NPI 1740219567.
Does the public listing show JENNIFER BUSSELL (MD) as active?
JENNIFER BUSSELL (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret JENNIFER BUSSELL (MD)'s specialty?
The extract shows Internal Medicine Physician for JENNIFER BUSSELL (MD). Clinical services aligned with this taxonomy classification.
What city is tied to JENNIFER BUSSELL (MD)?
The directory associates JENNIFER BUSSELL (MD) with Riverside, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains JENNIFER BUSSELL (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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