Jennie Rebecca Krull, PMHNP-BC | |
555 S Perryville Rd Ste 130, Rockford, IL 61108-2527 | |
(815) 995-2201 | |
(224) 999-4002 |
Full Name | Jennie Rebecca Krull |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 555 S Perryville Rd Ste 130, Rockford, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518322510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 277000398 (Illinois) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277000398 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Edgewood Clinical Services P.c. | 3971963901 | 106 |
Mindplexity Psychiatric Services Pllc | 9032596788 | 4 |
Entity Name | Mindplexity Psychiatric Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437808433 PECOS PAC ID: 9032596788 Enrollment ID: O20220518001174 |
Entity Name | Edgewood Clinical Services P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
Mailing Address | Practice Location Address |
---|---|
Jennie Rebecca Krull, PMHNP-BC 1050 Country Club Rd Unit 386, Woodstock, IL 60098-5585 Ph: (815) 501-5048 | Jennie Rebecca Krull, PMHNP-BC 555 S Perryville Rd Ste 130, Rockford, IL 61108-2527 Ph: (815) 995-2201 |
Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415 | |
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956 | |
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Melissa L. Inman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107 Phone: 815-227-9594 Fax: 815-227-9574 | |
Michelle L Bennett, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3505 N Bell School Rd, Rockford, IL 61114 Phone: 779-696-0300 Fax: 815-639-9433 |