JENNY YOHANNAN (FNP-BC) – Family Nurse Practitioner, NPI 1871109876

JENNY YOHANNAN (FNP-BC) is a healthcare provider. based in Des plaines, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 041388347 (IL). The NPI Number for JENNY YOHANNAN (FNP-BC) is 1871109876

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JENNY YOHANNAN (FNP-BC)
NPI
1871109876
Phone
(815) 295-2468
Address
1277 E THACKER ST APT 203
Enumeration Date
16 September 2020
Last Update Date
23 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8475901500
Graduation Year
2020 (6 years ago)
PAC ID
8527471192
Group Practice PAC ID
5991794513
Professional Enrollment ID
I20201229001851
Address ID
IL600681171PA1600XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:5State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for JENNY YOHANNAN (FNP-BC)

  • 1277 E THACKER ST APT 203

    DES PLAINES, IL 600168617

    Phone: (815) 295-2468

    Type: Mailing

  • 1600 DEMPSTER ST STE 120

    PARK RIDGE, IL 600681171

    Phone: (847) 299-7888

    Type: Location

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: 2020-12-29

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
I20201229001851INurse 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
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2218$0
View full utilization report →

Insurance plans in this area (ZIP 60016)

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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: 5991794513View full group profile
NameSpecialtyState
Internal Medicine, Geriatric MedicineIL
Internal MedicineMI
Physician AssistantIL
Nurse PractitionerIL
Nurse PractitionerIL
Internal MedicineIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Where can patients find JENNY YOHANNAN (FNP-BC)'s NPI?
You can confirm JENNY YOHANNAN (FNP-BC) with NPI 1871109876; it appears in the national provider directory.
Does this profile mean JENNY YOHANNAN (FNP-BC) is currently active?
Yes — JENNY YOHANNAN (FNP-BC) appears active in the national provider directory.
What field does JENNY YOHANNAN (FNP-BC) work in?
You can think of JENNY YOHANNAN (FNP-BC) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JENNY YOHANNAN (FNP-BC) practice in Illinois?
You will see Des Plaines, Illinois on file for JENNY YOHANNAN (FNP-BC) alongside any extra practice locations.
Is JENNY YOHANNAN (FNP-BC) a real provider?
This page reflects official NPPES data for NPI 1871109876. Always confirm identity and privileges with the practice and licensing boards.

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