JENNIFER JOAN PETERLIN (RN, MSN, AGNP) – Nurse Practitioner, NPI 1740812502
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Provider Addresses for JENNIFER JOAN PETERLIN (RN, MSN, AGNP)
5841 S MARYLAND AVE # MC5067
CHICAGO, IL 606371443
Phone: (773) 702-1611
Fax: (773) 834-7071
Type: Mailing
5700 S MARYLAND AVE
CHICAGO, IL 606371426
Phone: (312) 933-1159
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $584.
Total Amount is formed as General ($584) + Research ($0) + Ownership ($0) = $584.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Janssen Biotech, Inc. ($118).
Total Amount
$584
General + Research + Ownership
Payments
13
Total payment records
General Amount
$584
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $118 |
| UCB, Inc. | $107 |
| PFIZER INC. | $99 |
| ABBVIE INC. | $53 |
| Verrica Pharmaceuticals Inc. | $40 |
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: 2020-08-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200810002783 | 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 | 107 | 94 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 102 | 94 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 101 | 88 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 32 | 23 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 28 | 26 | $0 |
Insurance plans in this area (ZIP 60637)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | IN | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | IL | |
| P A T H O L O G Y | IL | |
| D E R M A T O L O G Y | NJ |
Reviews
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