JENNIFER VISSERING – Nurse Practitioner, NPI 1770983181

JENNIFER VISSERING is a healthcare provider. based in Morton, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209.011735 (IL). The NPI Number for JENNIFER VISSERING is 1770983181

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER VISSERING
NPI
1770983181
Phone
(309) 263-2424
Address
435 MAXINE DRIVE SUITE #4
Enumeration Date
4 September 2014
Last Update Date
25 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3092665405
Graduation Year
2014 (12 years ago)
PAC ID
0648592642
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20141202001421
Address ID
IL615502498MO435XXDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for JENNIFER VISSERING

  • 435 MAXINE DRIVE SUITE #4

    MORTON, IL 61550

    Phone: (309) 263-2424

    Fax: (309) 284-2244

    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: 2014-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (891 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20141202001421INurse PractitionerIL2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 minutes350208$0
36415Insertion of needle into vein for collection of blood sample198148$0
99213Established patient office or other outpatient visit, 20-29 minutes6759$0
G0008Administration of influenza virus vaccine5453$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit5353$0
View full utilization report →

Insurance plans in this area (ZIP 61550)

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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: 3678889789View full group profile

Reviews

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Frequently asked questions

How is JENNIFER VISSERING identified in CMS data?
CMS-hosted NPPES data lists JENNIFER VISSERING with NPI 1770983181.
Does the file indicate JENNIFER VISSERING is practicing under active NPI?
Directory data currently reports JENNIFER VISSERING as active.
What is JENNIFER VISSERING best known for clinically?
Directory data describes JENNIFER VISSERING with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect JENNIFER VISSERING on a map?
Expect Morton, Illinois as a primary anchor for JENNIFER VISSERING unless the record lists multiple sites.
Is the information about JENNIFER VISSERING up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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